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Neurology and the clinical anatomist.
Medicine (Abingdon)
August 2020
is a Consultant Stroke Physician and Neurologist in the University Hospital of Wales, Honorary Senior Lecturer (Teaching) at Cardiff University, and Clinical Director of Medical Neurosciences in Cardiff and Vale Health Board, UK. He trained in medicine at the Royal London Hospital, and in Neurology and Stroke in London, Cardiff and Edinburgh. He completed an MD thesis describing indices of swallowing in health and in motor neurone disease. Competing interests: none declared.
Clinical examination allows the neurologist to test hypotheses generated by their interpretation of the patient's story. By eliciting abnormal clinical signs, the examining doctor works out a differential diagnosis for the part of the nervous system affected and, using information from the clinical history, a differential diagnosis of the pathology. Clinical examination also allows the clinician to observe and quantify function, hear more story and provide reassurance.
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