General inspection
The general examination in the neurological examination should include:
- abnormal posture, for example, in an upper motor neurone lesion with flexion of the upper limb - arm pronated and adducted - and extension of the lower limb
- muscle wasting - this indicates primary muscle disease, denervated muscle, or disuse atrophy - when looking for wasting compare both sides and try to work out what pattern of muscle wasting, for example proximal, distal, generalised, symmetrical
- abnormal movements, such as athetosis or tremor
- skin - herpes zoster, neurofibromatosis, segmental distribution of angiomata - associated with spinal astrocytoma and syringomyelia
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