Episode 255: Neurology VMR – Frequent Falls
The Clinical Problem Solvers
The Clinical Problem Solvers
4.7 • 528 Ratings
🗓️ 7 September 2022
⏱️ 59 minutes
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| 0:00.0 | Hey folks, just a quick reminder that this episode is now meant to be used for medical advice, just good old-fashioned education. |
| 0:08.5 | All patient information has been modified to protect their identity and the views expressed in our podcast do not necessarily reflect the opinion of our employers. |
| 0:23.8 | Okay, fantastic. |
| 0:27.7 | So, Rafa, why don't you give us just the chief concern, and then we'll go from there. |
| 0:31.9 | Okay, so this is a patient presenting with frequent falls. |
| 0:33.8 | Frequent falls. |
| 0:35.2 | Okay. |
| 0:39.1 | So, Alice, when you hear that a patient is presenting with frequent falls, |
| 0:45.1 | and that's all we know so far. What starts coming to mind for you? Okay, so many things, |
| 0:52.4 | basically. One thing is a taxia. So it could be a reason why someone falls. The other thing is I'm thinking about the autonomic nervous system as well. |
| 0:57.4 | So there's some atypical Parkinson's Syndrome that can present with autonomic dysfunctions. |
| 1:03.7 | So that could also be something I'm thinking about. |
| 1:07.9 | And then Freak and Falls could also be that a person just can't see properly. So maybe, yeah, |
| 1:13.3 | visual, I don't know, something in the visual system. So yeah, that's just the first things |
| 1:19.5 | come to mind. Fantastic. Excellent. And for those of you have heard me discuss gate before, |
| 1:26.9 | Alice is getting at many of the main points here. |
| 1:29.3 | And we do the neurologic exam. |
| 1:30.6 | It has seven parts, right? |
| 1:32.0 | Mental status, cranial nerves, motor sensory reflexes, cerebellum, and gait. |
| 1:37.2 | And why do we test gait at the end? |
| 1:39.3 | Because gait, as I like to say, is sort of the symphony of all of the other instruments of the nervous system |
| 1:44.5 | working together. Because as Alice said, if you can't see very well, then it would be hard to walk |
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