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Walk them or no leg to stand on! Diagnostic delay of neurologic conditions in young children
Author(s) -
Stock Amanda,
Dunn Karen,
Cheek John A
Publication year - 2016
Publication title -
emergency medicine australasia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.602
H-Index - 52
eISSN - 1742-6723
pISSN - 1742-6731
DOI - 10.1111/1742-6723.12585
Subject(s) - medicine , acute disseminated encephalomyelitis , neurological examination , incidence (geometry) , neurological problems , pediatrics , physical examination , multiple sclerosis , physical therapy , intensive care medicine , physical medicine and rehabilitation , surgery , psychiatry , physics , optics
Diagnosis of low incidence neurological conditions can be a challenge in paediatric emergency medicine. Neurological examination in young children can be very difficult, and medical staff may not previously have encountered conditions like acute demyelinating encephalomyelitis. We propose that the simple process of walking a child (provided they were previously ambulant) is the crucial step in the neurological examination. We present three cases to demonstrate this important part of the examination.