Student Neurological Exam - Full Length

Dramatization of a focused neurological exam on a patient suffering an acute hemorrhagic stroke in the posterior internal capsule of the brain.

These are both medical students -- the "patient" (actor) is acting according to typical case presentations based on the neuroanatomy of the stroke.

I've received a number of comments on patient privacy, so once again, this is a re-enactment of a "typical" case for educational purposes! We take patient privacy very seriously. We do appreciate your concern, as well as the complement to our medical students' acting skills :-)

Category:

Education

Tags:

• unmsom
• hemorrhagic
• stroke

[horsepower735]

Hello guys, I'm a med student and this is a really great full neuro exam to watch, and although I understand this is really superb enactment of symptoms and signs, I am a bit confused about spinal accessory nerve testing. Pt could not turn her head to LEFT against the resistance. In case of real RIGHT sided hemiparesis/hemiplesia, wouldn't you feel expect the opposite due to weakened RIGHT side SCM? (pt already showed weakend shrugging on right side) Please feel free to correct me.

[firehydrant3]

@horsepower735 Thanks for your comment. You may want to take a second look. You're right on that the patient would have trouble turning her head to the left against resistance due to her right sided hemiparesis (CN XI innervating the right SCM). However (and it's easy to miss this) that's actually what you're seeing in this video. Inability to passively RESIST pressure towards the right (as seen in the video) is equivalent to inability to actively TURN towards the left (as you describe).

[DWordDtour]

you didn't keep her secret. we all know that she snorted cocaine. tsk tsk tsk...

[2011alix]

she is so good actor for left hemisphere stroke and subarachnoid hemorrhage after rupture of anterior communicating artery aneurysm in a hypertensive emergency episode

[Healthypig1423]

She has a bad case of Sling Blade disease. The only cure is french fried potaters.

[kimvlaar]

What were you doing? DDDDDDDDRRRRRRRUUUUUUUUGGGGGGG­GGSSSSSSSSSSSSSSS and now I fucked myself up.

[Bapewatch01]

is it strange that i wanted to know more about the patient, too bad i do psychology and not medicine lol

[Alstheman37]

I kept your secret so well, that I posted it on Youtube!!

[Alstheman37]

Ah, anyone else noticed that hidden message?

[kingdoner]

Better to say "Whatever you tell me will be kept confidential within the team that are looking after you unless I have to act to prevent you or somebody else being put at significant risk of harm".

[marcusTgreat]

just like the movie "Idle Hands", only this is going to turn out like "Idle Right Side Of My Body"

[capnrory]

can medical students in the US give complete confidentiality? Here in the UK you have to give give any relevant information to the rest of the medical team