Cognitve Neurology and Interface with Psychiatry
During this 3-week rotation the M3 students will:
- Become familiar with neurologic disorders that have cognitive and behavioral manifestations
- They will be trained and observed as they perform a basic neurologic examination
- Preparation for the Psychiatry Shelf Examination
- Introduction to Neuro-Rehabiliation
- Awareness, Lethargy, Stupor, Coma. Diagnosis and Management
- Language. Aphasia
- Basic Frontal, temporal, parietal and occipital lobe function. Memory.
- Epilepsy 1
- Epilepsy 2
- Head trauma
- Cognitive Neurology in Children. Mental Retardation
- Dementia. Alzheimer’s disease
- Metabolic Encephalopathy
- Basic Neurologic Examination.
- Write up of assigned cases with review and feedback by attending
- Folstein. Mini-Mental Status Scale. MOCA. Language evaluation and non-dominant parietal lobe testing.
Power Point Presentation at the end of the rotation on a case selected by the student for its interest with review of recent literature
Practical: Two calls during the rotation — one weekday (5 p.m. to midnight) and one weekend day (9 a.m. to midnight)
Upon completion of this elective, the student will be able to:
- History taking and physical examination of patients with neurological problems, lesion localization and differential diagnosis.
- Use the laboratory in an integrated fashion, selectively and with a hypothesis-formulating approach in the further exploration of a given case.
- Non-invasive Neurological Diagnostic Tests
- Computerized tomography (CT Scan)
- Magnetic resonance imaging (MRI) and angiography (MRA)
- Doppler carotid flow studies
- Electrophysiologic testing in neurologic disorders
- Head and neck arteriography, CT Angiography
- Demonstrate the initial workup, investigations, and management of acute neurologic emergencies and provide night call coverage of emergency services at OSF Saint Francis Medical Center.
- Observe and in some cases perform, under supervision, lumbar puncture for CSF examination
- Familiarity with the NIH Stroke Scale management of stroke
- Opportunity to present cases to attendings and to demonstrate neurologic history and examination skills