Lesson 1Mental status and language assessment: orientation, attention, naming, repetition, comprehension tests for aphasia detectionFocuses on quick bedside check of awareness, direction, focus, memory, and language parts, including naming, repeating, flow, and understanding, to spot language loss, confusion, and small thinking deficits in Eritrea.
Level of consciousness and arousalOrientation and short‑term memoryAttention and working memory testsNaming, repetition, and fluencyComprehension and command followingLesson 2Special bedside tests: brief seizure mimic assessments (postictal confusion, tongue biting, incontinence), TIA mimics, and orthostatic vital signsReviews targeted bedside actions to find seizure and temporary blood flow look-alikes, including after-seizure signs, tongue harm, loss of control, mind-based features, and standing vital signs, helping separate real blood vessel events from others in Eritrea.
Postictal confusion and recovery profileTongue biting and incontinence cluesFeatures suggesting psychogenic eventsScreening for common TIA mimicsOrthostatic blood pressure and pulseLesson 3Sensory exam: pinprick/light touch, proprioception, cortical sensory signs, and sensory extinction/neglect testingCovers bedside tests of main and brain cortex feeling types, including pinprick, light touch, shake, position sense, writing feel, and loss detection, stressing patterns that separate outer, spine, brain stem, and cortex lesions in local care.
Pinprick and light touch techniqueVibration and joint position senseTesting graphesthesia and stereognosisDetecting extinction and neglectPatterns of sensory level and hemibody lossLesson 4Cranial nerve exam targeted to this presentation: facial symmetry, dysarthria vs aphasia, gaze, visual fields (confrontation), and pupillary assessmentDetails a targeted head nerve screen for suspected stroke, including face evenness, speech issue vs language loss, eye moves, sight fields by facing, and pupils, stressing quick methods and key placing patterns in Eritrea.
Rapid facial symmetry assessmentDistinguishing dysarthria from aphasiaBedside gaze and eye movement testingConfrontation visual field techniquesPupillary size, reactivity, and anisocoriaLesson 5How to record focused exam findings clearly and translate into localization statementsExplains how to order targeted neurological findings, use standard words, and turn raw views into short placing statements that guide difference diagnosis, scan choices, and urgent care choices in Eritrean settings.
Standard neurologic note structureKey normal and abnormal exam phrasesLinking signs to lesion localizationWriting one‑line localization summariesLesson 6Gait and balance assessment: timed gait, tandem walk, and assessment for fall risk or intermittent collapseProvides an ordered way to check walk and balance, including timed walks, side-by-side gait, balance stand, and watch for freeze, unsteadiness, or fall, to guess fall risk and place brain balance, feeling, or front walk issues.
Observation of stance and initiationTimed gait and turning assessmentTandem walk and Romberg testingIdentifying ataxic and frontal gaitsScreening for intermittent collapseLesson 7Motor exam: tone, power grading, focal weakness patterns, pronator drift, and rapid bedside tests for subtle hemiparesisOutlines a targeted movement exam stressing tone, strength grading, pronator drift, quick strength screens, and small unevenness, with patterns that separate upper from lower motor neuron weakness and body function issues in Eritrea.
Assessing bulk and involuntary movementsGrading power using MRC scaleEvaluating tone and spastic catchPronator drift and orbiting testsRapid screening for subtle hemiparesisLesson 8Coordination and cerebellar testing: finger-nose, heel-shin, dysdiadochokinesia and interpretation in focal cortical vs cerebellar causesDescribes bedside coordination tests with finger-nose-finger, heel-knee-shin, quick switch moves, and bounce back, and explains how to separate brain balance, feeling, and cortex causes of limb unsteadiness in local practice.
Finger‑nose‑finger performance errorsHeel‑knee‑shin and truncal ataxiaRapid alternating movement testingRebound and overshoot phenomenaDifferentiating sensory from cerebellar ataxia