Dear All

Thank you for participating in the session today.

In RRR we discussed:

  • Upper / Lower Motor Neurone Lesion
  • Spasticity
  • Constipation – visible healing anal fissure

The clinical station showed a 9 year old with evidence of left Hemiplegia. Dr R took the hotseat. Dr J, Dr J and DR P had the examiner hat. Verbalizing the exam is quite a challenge and in my opinion more difficult than having a child in front of you. It is very easy to overrun and not complete the exam in 6 minutes.

The Learning points are:

  • Remember it is a Focused examination
  • Systematic
  • You will not be able to cover ‘ALL you wish’.
  • Genral physical and looking around room – 1 min max.
  • Comment on any ‘abnormal’ finding – cue
  • Splints / aids / medications
  • General health – mention
  • Examine without ‘splint’ if shown wearing
  • GAIT – start when child standing
  • Follow by Sitting on floor and getting up
  • Conclude with your impression: UML lesion / LMN lesion

Please visit to add your comments or points I may have missed.

Anil Garg