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John W Ostrominski1, Qin Huang1, Yelena Kamenker-Orlov1
1is a Resident Primary Care Physician; is a Pathologist in the Department of Pathology and Laboratory Medicine; and is a Primary Care Physician and Director of the Resident Primary Care Clinic; all at the West Roxbury Veterans Affairs Medical Center. John Ostrominski is Resident in Internal Medicine, Qin Huang and Yelena Kamenker-Orlov are Assistant Professors, all at Brigham and Women's Hospital and Harvard Medical School in Massachusetts.
A thorough abdominal exam is crucial for patients with lower extremity focal neurologic deficits. This examination aids in comprehensive neurologic diagnosis and workup.
Area of Science:
- Neurology
- Internal Medicine
Background:
- Focal neurologic deficits in the lower extremities can stem from various underlying pathologies.
- A comprehensive diagnostic approach is essential for accurate diagnosis and effective treatment.
Observation:
- Patients presenting with lower extremity focal neurologic findings were evaluated.
- The diagnostic utility of abdominal examination in these cases was assessed.
Findings:
- A thorough abdominal examination is an integral part of the neurologic workup for patients with lower extremity focal neurologic findings.
- Abdominal pathologies can manifest as neurologic symptoms in the lower extremities.
Implications:
- Clinicians should incorporate abdominal examination into the standard neurologic assessment for lower extremity deficits.
- This practice may improve diagnostic accuracy and patient outcomes by identifying non-neurologic causes of neurologic symptoms.
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