Neurological Examination 1.0

Participants will undergo focused, small-group practical training under direct bedside supervision. The curriculum systematically dissects the eight pillars of clinical neurology:

1. 1.
   Systematic Neurological Examination: Establishing a standardized, fluid sequence from patient introduction to synthesis.
2. 2.
   Cranial Nerve Examination: Step-by-step techniques from CN I to CN XII, with special emphasis on pupillary reflexes, fundoscopy orientation, facial nerve palsy (UMN vs LMN differentiation), and bulbar vs pseudobulbar palsies.
3. 3.
   Motor & Sensory System Examination: Precise grading of muscle power (MRC scale 0–5), tone assessment (spasticity vs rigidity vs hypotonia), dermatomal sensory mapping, and vibration/proprioception elicitation.
4. 4.
   Reflexes and Plantar Response: Perfecting the tendon hammer technique, deep tendon reflex reinforcement (Jendrassik maneuver), clonus testing, and unequivocal Babinski reflex elicitation.
5. 5.
   Cerebellar Examination: Finger-nose test, dysdiadochokinesia, heel-to-shin test, pendular reflexes, and nystagmus interpretation.
6. 6.
   Gait Assessment: Identifying classic neurological gaits: hemiplegic, festinating, waddling, sensory ataxic (stomping), and high-steppage gaits.
7. 7.
   Clinical Localization of Neurological Lesions: Translating bedside physical findings into anatomical neuroaxis mapping (cortex, subcortex, brainstem, spinal cord, nerve root, peripheral nerve, NMJ, or muscle).
8. 8.
   Case-Based Clinical Reasoning: Formulating sharp problem representations and defending differential diagnoses from real clinical vignettes.