Diagnosis of Bizarre medical conditions
Bizarre medical conditions Diagnosis: Book Excerpts
Diagnostic Tests for Bizarre medical conditions: Online Medical Books
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Gait, bizarre [Hysterical gait]:
History and physical examination
(Handbook of Signs & Symptoms (Third Edition))
If you suspect that the patient’s gait impairment has no organic cause, begin to investigate other possibilities. Ask the patient when he first developed the impairment and whether it coincided with a stressful period or event, such as the death of a loved one or loss of a job. Ask about associated symptoms, and explore reports of frequent unexplained illnesses and multiple physician’s visits. Subtly try to determine if the patient will gain anything from malingering, for instance, added attention or an insurance settlement.
Begin the physical examination by testing the patient’s reflexes and sensorimotor function, noting abnormal response patterns. To quickly check his reports of leg weakness or paralysis, perform a test for Hoover’s sign: Place the patient in the supine position and stand at his feet. Cradle a heel in each of your palms, and rest your hands on the table. Ask the patient to raise the affected leg. In true motor weakness, the heel of the other leg will press downward; in hysteria, this movement will be absent. As a further check, observe the patient for normal movements when he’s unaware of being watched.
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Source: Handbook of Signs & Symptoms (Third Edition), 2006
Gait, bizarre [Hysterical gait]:
History and physical examination
(Professional Guide to Signs & Symptoms (Fifth Edition))
If you suspect that the patient’s gait impairment has no organic cause, begin to investigate other possibilities. Ask the patient when he first developed the impairment and whether it coincided with any stressful period or event, such as the death of a loved one or loss of a job. Ask about associated symptoms, and explore any reports of frequent unexplained illnesses and multiple physician’s visits. Subtly try to determine if he’ll gain anything from malingering, for instance, added attention or an insurance settlement.
Begin the physical examination by testing the patient’s reflexes and sensorimotor function, noting any abnormal response patterns. To quickly check his reports of leg weakness or paralysis, perform a test for Hoover’s sign: Place the patient in the supine position and stand at his feet. Cradle a heel in each of your palms, and rest your hands on the table. Ask the patient to raise the affected leg. In true motor weakness, the heel of the other leg will press downward; in hysteria, this movement will be absent. As a further check, observe the patient for normal movements when he’s unaware of being watched.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Gait, bizarre [Hysterical gait]:
History and physical examination
(Nursing: Interpreting Signs and Symptoms)
If you suspect that the patient's gait impairment has no organic cause, begin to investigate other possibilities. Ask the patient when he first developed the impairment and whether it coincided with a stressful period or event, such as the death of a loved one or loss of a job. Ask about associated symptoms, and explore reports of frequent unexplained illnesses and multiple physician's visits. Subtly try to determine if the patient will gain anything from malingering, for instance, added attention or an insurance settlement.
Begin the physical examination by testing the patient's reflexes and sensorimotor function, noting abnormal response patterns. To quickly check his reports of leg weakness or paralysis, perform a test for Hoover's sign: Place the patient in the supine position and stand at his feet. Cradle a heel in each of your palms, and rest your hands on the table. Ask the patient to raise the affected leg. In true motor weakness, the heel of the other leg will press downward; in hysteria, this movement will be absent. As a further check, observe the patient for normal movements when he's unaware of being watched.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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