One of the most important roles a physiotherapist can complete; is ensuring to the best of their ability, no serious pathology is present.
Here I will address this from a top down approach:
The Head & Neck:
Cranial Nerves
1. Olfactory (each nostril tested with known odours)
2. Optic (Visual field loss)(CNS)
3. Oculomotor (Diplopia, Strabismus, Ptosis, Mydriasis)
4. Trochlear (Diplopia- superior oblique)
5. Trigeminal (Fascial sensation, Mastication)
6. Abducens (Diplopia- lateral rectus)
7. Fascial (2/3 anterior tongue taste, ear sensation, fascial palsy)
8. Vestibulocochlear (hearing and balance)
9. Glossopharyngeal (uvula deviation, post 1/3 tongue)
10. Vagus (elevated BP and HR, hoarse voice, dysphagia)
11. Accessory (shoulder shrug will induce winging)
12. Hypoglosseal (unable stick tongue straight out -deviation to weaker/damaged side)
5 D’s An 3 N’s
-Dizzyness
-Dysphagia
-Diplopia
-Dysphalgia
-Drop Attack
— Ataxia
-Nausea
-Nystagmus
-Numbness (of face)
Cervical Artery Dysfunction (description not diagnosis, vertebrobasilar Insufficiency (VBI) is old terminology)
The Lumbar spine:
– Cauda Equina
Extremity:
Compartment syndrome
Systemic pathology:
Cancer
Thyriod
Rheumatoid Arthritis
Epilepsy
Asthma
Diabetes
Steroid meds