presented by Julie Hershberg
The purpose of this course is to review the process of neurologic differential diagnosis for screening for referral. In particular, we will discuss how to identify red flags, determine if the patient’s given diagnosis matches their presentation, and how to organize and hypothesize the differential diagnosis based on the timeline and neurologic system involvement.
Julie Hershberg is a passionate neurologic physical therapist, educator, mentor, learner and forever neuro-nerd. She owns and practices at [re+active] physical therapy & wellness, a state of the art outpatient neurologic physical therapy and wellness practice in Los Angeles. It is here she has the privilege to lead a team of PTs, OTs, yoga therapists and personal trainers to change the lives of people with neurologic disorders. She also gets to lead the clinical education of many students and direct the Schmidt Movement Disorders Fellowship. Her clinical practice is greatly influenced by her teaching (for the last 8 years) of Neuroanatomy and Neuropathology at the University of Southern California, Division of Biokinesiology and Physical Therapy. Where else does a PT get to make brains and lesions out of play-doh and tweet summaries from a neurologic differential diagnosis lab? She truly loves a fun and interactive classroom where research, didactic learning, student knowledge and dancing all come together. You will also find Julie online through the NeuroCollaborative where she is spreading the #iloveneuro PT spirit and furthering the profession of neurologic physical therapy.
This chapter introduces the overall process of neurologic differential diagnosis process and answers the question: why differential diagnosis?
In this chapter we dive deeper into the first critical step of the differential diagnosis process: getting a great history and subjective exam from a patient. We highlight key red flags and reasons for referral.
The link between neurologic signs and symptoms and key neuroanatomy will be covered in this chapter. We will discuss the interpretation and patterns of key neurologic signs and symptoms and compare them to a patient’s give diagnosis and what is expected. We will answer the questions, “where is the lesion?” and “what is the lesion?”
This chapter will use a case to demonstrate and practice the neurologic differential diagnosis process.