1. Gathering Information: It is imperative that we receive records from your referring physician in order to assist us in diagnosis and treatment planning. The neurologist will then obtain history from you which may include the following:
History of Present Illness: Location, quality, severity, duration, timing, context, modifying factors, and associated signs and symptoms.
Past Medical History: Allergies, current medications, surgeries, injuries, other.
Social History: Employment, marital status, children, habits.
Family History: Parents, other.
Review of Systems: Constitutional (fever, weight loss, etc..), eyes, ENT, cardiovascular, musculoskeletal, respiratory, GI, GU, skin, endocrine, hematological, psychiatric.
2. The Examination: After review of the above information, a thorough examination is performed consisting of:
Physical examination: Blood pressure, pulse, respiration, height, weight and general appearance.
Mental Status Testing: Orientation times three, recent/remote memory, attention span/concentration, language and fund of knowledge.
Neurological: A thorough exam including the 12 cranial nerves, muscle strength, tone, bulk, posture, gait, coordination, and a full sensory examination.
3. Diagnosis and Treatment: Based on your history, examination, laboratory and imaging data, your neurologist may offer you a diagnosis and treatment plan. In many occasions he or she may decide to obtain more data in order to arrive at a diagnosis.