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- problems and differential diagnoses: a problems list slide would make things a bit clearer but the ddx slide is well stated
- some of the formatting was a bit busy for our liking, but the information was all included

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Day 4_ Interpretation of Diagnostic Results & Management (1)

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Identify key findings of neurological exam:

Are there any 'head' signs?

What is your evidence for the patient having a neurological problem?

Which limbs are affected?

Are the signs in the limbs consistent with LMN or UMN?

Always be challenging your evidence - What does a test tell you? How reliable is it?

Identify likely location of lesions:

Which syndrome do the clinical signs appear to reflect?

Can they be explained by a lesion in one location?

Could you be dealing with more than one lesion or multifocal disease?

Update your problem list

Generate differentiate diagnosis list

Identify learning requirements to progress with the case

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Case 11 Dinky Neurological Examination RM edits 

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Prioritised problems list:

Ambulatory paraparesis - hind-limbs are crossing over in the gait

Scuffing of toenail (digit 3 of the right pelvic limb) from dragging it

Considerations:

Proprioceptive deficit

Ataxic

Thoracic-lumbar spine is the region affected given the paraparesis

Peripheral nerve damage

Motor deficit

Immediate attention:

Nothing is noted to be needing immediate attention. Dog is happy and alert and doesn't seem to be in pain.

Differential diagnosis:

Upper motor neuron deficit

Spinal compression

infectious vertebral osteomyelitis diskospondylitis

Tumour

Meningitis

Sciatica