Neurology - Clinical Chiropractic Diplomate - Chiropractic Doctor

Neurology 214e6
Non-Organic Physical Signs: Are tests for “Fakers” credible? + Fundamentals and mechanics of the neurological examination

1.0

  • Contrast and compare the physical neurological examination with the physical examination of other body systems.
  • Perform a neurological examination in a logical, physical sequence from sitting to standing, supine and prone.
  • Describe and perform “Waddell’s Tests and six other special tests described in the literature to detect complaints without a physical basis.
  • Itemize pitfalls and critically review special tests described in the literature to detect complaints without a physical basis.

Ferezy, DC, DACAN, FIACN

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$20.00 USD

Neurology 214e5
A Brief Review of the Neurological Examination: Ferezy’s MSR’s

4.0

  • List the major divisions and sub components of the neurological examination.
  • Contrast and compare the effects of neurological lesions on the neurological examination of the central nervous system versus the peripheral nervous system.
  • Recite the implications of neurological examination findings on disorders involving various components of the central and peripheral nervous system.
  • Draw the anatomy of the lower motor neuron in its relation to the spinal cord, nerve root, spinal nerve, and the neuromyal junction.
  • Describe components of the so called “SAID” principle of strength training and its relation to neural and muscular adaptation.
  • List the five primary roles of functional skeletal muscle tissue.
  • Describe and perform aspects of the neurological examination of the Motor Systems of the patient.
  • Recite findings related to neurological “drift” performed during the neurological examination.
  • Compare and contrast the findings of percussion myoedema with those of percussion myotonia.
  • Discuss the significance of neural shock and detail expected associated neurological examination findings.
  • Describe and perform aspects of the neurological examination of the Sensory Systems of the patient.
  • List, contrast and compare the neurological signs associated with “release phenomenon” and “deficit phenomena”.
  • Illustrate components of the muscle stretch reflex including the role of the Alpha motor neuron, Gama motor neuron, and large sensory fibers in relation to the muscle fibers and spinal cord.
  • Describe and perform aspects of the neurological examination of the Reflex Systems of the patient.
  • Draw the neurologic pathways associated with the eye light reflexes.  Include reference to cells of the retina, the optic nerve, the optic chiasm, the optic tract, the Pretectal nucleus, and the Edinger Westphal nucleus.
  • Itemize and discuss categories of neurological involuntary movements.
  • Perform and discuss three versions of the extensor plantar response (extensor toe sign, Babinski sign).
  • Discuss the common shorthand used for grading muscle stretch reflex responses and discuss the results of the neurological examination associated with each grade.

Ferezy, DC, DACAN, FIACN

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$80.00 USD

Neurology 214e4
The Cortex: Communication and Knowledge

2.0

  • Locate cortical areas responsible for language and describe the relationship between the areas and describe pathways of cortical information processing.
  • Define the term “hemisphericity” in relation to hemisphere dominance and itemize various methods to determine hemisphere dominance for functions such as language, handedness, hearing, vision, etc.
  • Describe results of “split brain” experiments regarding cortical processing of faces and items in regard to distribution of visual information and speech.
  • Draw the relationships between the reception and expression categories in The Schema of Monrad Crone to illustrate the “inputs and outputs” of human interaction.
  • Identify the cortical pathways involved from hearing and understanding to formulating speech and speaking, and discuss the relevance of pathway location to other cortical systems.
  • Define common terms associated with cortical disorders including aphasia, agraphia and apraxia.

Ferezy, DC, DACAN, FIACN

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$40.00 USD

Neurology 214e3
Somatoform Disorders & Malingering

1.0

  • Define the terms somatoform disorder, hysteria, malingering, organic and non organic disease.
  • Contrast and compare organic and non organic disease.
  • Contrast and compare somatoform disorder and malingering.
  • Identify the most common symptoms described by patients suffering from Somatoform disorder, and develop a strategy to what degree the symptoms may have a somatoform component. 

Ferezy, DC, DACAN, FIACN

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$20.00 USD

Neurology 214e2
Bedside Neurological Examination Review

5.0

  • Identify the areas of proper placement of the stethoscope bell in order to auscultate various arteries and other vascular structures available in the head and neck.
  • Perform palpation of the thyroid gland.
  • Perform an examination of the cranial nerves.
  • Evaluate the head and neck for signs of nervous system trauma.
  • Draw out the visual pathways from retina to striate cortex of the occipital lobe.
  • Associate patterns of visual field losses with various portions of optic pathway disease.
  • List retinal areas to evaluate and associated parameters during the fundoscopic examination.
  • Correlate disorders of eye position and movement with peripheral cranial nerve disease, internuclear ophthalmoplegia and gaze palsy’s.
  • List current vertebrobasilar risk assessment options as well as the value and limitations of each.
  • Outline the position of the Association of Chiropractic Colleges (ACC) in regard to vertebrobasilar ischemia (VBI) provocative testing in the chiropractic office.
  • Identify suggested effects of elevated homocystine levels above 7.2 umol/L.
  • Perform procedures recommended by the author to evaluate candidates for manipulative therapy.
  • Summarize implications of neurological findings for lesions involving the cranial nerves or their central connections.

Ferezy, DC, DACAN, FIACN

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$100.00 USD

Neurology 214e
Review: History and Mental Status

1.0

  • Describe areas of concern in the history taking process
  • List areas of concern in the mental status examination
  • Identify and perform methods for eliciting a patient history
  • Identify and perform methods for examining the patient’s mental status

Ferezy, DC, DACAN, FIACN

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Neurology 214d
Neurological Examination Flow A Brief Review

1.0

  • Correctly assess the level of the lesion in case scenario questions.
  • Identify the components of the neurological examination.
  • Demonstrate a basic examination flow from sitting to standing, to the supine and prone positions.
  • Outline "Ferezy's MSR's" which is a pneumonic devise to help recall areas needing to be tested.
  • Summarize implications of neurological findings for lesions in various parts of the central nervous system.
  • Summarize implications of neurological findings for lesions in various parts of the peripheral nervous system.

Ferezy, DC, DACAN, FIACN

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Neurology 214c2
Documentation for the Neurologist

12.0

  • NOTE:  This course contains the same content as Coding and Documentation 201 - 204
  • Discuss ethical standards of insurance reporting and coding
  • Define the Problem Oriented Medical Record (POMR)
  • Describe the P.A.R.T. format of documentation
  • Define the P of P.A.R.T. from Centers for Medicare/Medicaid Services
  • Define the A of P.A.R.T. from Centers for Medicare/Medicaid Services
  • Demonstrate the POMR and the P and A of P.A.R.T. formats for the initial patient encounter
  • Describe the concept of outcome assessments in clinical practice
  • Distinguish between subjective and objective outcome assessments Illustrate methods of proving medical necessity
  • Develop a strategy to justify treatment
  • Define the R of P.A.R.T. from Centers for Medicare/Medicaid Services
  • Illustrate the different methods of evaluating spinal range of motion
  • Define the T of P.A.R.T. from Centers for Medicare/Medicaid Services
  • Describe the timing of the first re-exam
  • Demonstrate proper coding for range of motion measurements
  • Illustrate different outcome assessments for the T of P.A.R.T
  • Demonstrate the POMR and P.A.R.T. formats for the initial patient encounter
  • Integrate the POMR and P.A.R.T. formats for subsequent patient encounters
  • Define proper Assessments
  • Illustrate the two types of Plan
  • Demonstrate proper documentation for timed codes
  • Define the short, moderate and long term diagnoses for Medicare
  • Illustrate the legal definition of medical necessity
  • Describe the red flags of a record review
  • Demonstrate the determination of causation for a motor vehicle collision
  • Discuss the different mechanisms of injury for motor vehicle collisions
  • Demonstrate the key value drivers of Colossus
  • Discuss the difference between impairment and disability
  • Illustrate the determination of the end of justifiable treatment
  • Define the main components of an impairment evaluation
  • Illustrate Duties Under Duress and Loss of Enjoyment
  • Illustrate the important diagnoses for personal injury cases
  • Define the 5 Colossus prognoses
  • Demonstrate the 5 grades of injury severity for the Croft Guidelines for the Treatment of CAD Injuries
  • Illustrate the Croft Treatment Guidelines
  • Discuss the complicating factors for the Croft Guidelines
  • Define the critical points for documentation of personal injury cases
  • Discuss the concepts that personal injury attorneys look for in our documentation
  • Illustrate the differences between subjective and objective testimony
  • Discuss the appropriate order of visits for functional exams

Friedman, DC

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$240.00 USD

Neurology 214c1
Record maintenance and narrative report writing

1.0

  • NOTE: This course contains the same content as Neurological Exam 107
  • Maintain proper records of neurological examination in the SOAP format
  • Write narrative reports reflecting the neurological examination
  • Apply an outline of fundamental procedures in performing a complete chiropractic neurological examination

Ferezy, DC, DACAN, FIACN

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$20.00 USD

Neurology 214a
Ethical Issues for Doctors of Chiropractic

1.0

  • Define professional ethics and morals
  • Sensitize the DC to issues related to common ethical dilemma in chiropractic practice
  • Discuss specific ethical considerations in situations and scenarios related to patients, former patients and society

Ferezy, DC, DACAN, FIACN

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Neurology 213a
Neuroradiology For The Chiropractic Neurologist

5.0

  • Review the categorizations for the specialty of radiology and its related subspecialties
  • Compare and contrast typical analog x-ray suites with Computed Radiography (CR) and Digital radiology (DR) detection systems
  • Review and describe equipment, concepts and various types of CT Scanning
  • Review and describe equipment, concepts and various types of magnetic resonance imaging (MRI/MRA), and angiography
  • Discuss newer technologies for assessing neurological tissue function, including SPECT,  PET and fMRI scanning
  • Review and describe equipment, concepts and various types of diagnostic ultrasoundography
  • Identify and define other techniques of diagnostic imaging

Ferezy, DC, DACAN, FIACN

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$100.00 USD

Neurology 212i
Physical Diagnosis: Evaluation of the Internal Eye

2.0

  • Recall the structural anatomy of the internal eye.
  • Define various functions of components of the internal eye.
  • List local disorders affecting the internal eye.
  • Describe techniques of examination of the internal eye such illumination, observation, and special tests and their relevant clinical findings associated with local internal eye disease.
  • Identify and perform methods for examining the internal eye for uveal tract disease, cataracts, and vitreous disease.
  • Identify and describe pathological changes conditions associated with disease of the uveal tract disease, cataracts, and vitreous humor.

Ferezy, DC, DACAN, FIACN

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$40.00 USD

Neurology 212h
Evaluation of the External Eye

2.0

  • Recall the structural anatomy of the external eye.
  • Define various functions of components of the external eye.
  • List local disorders affecting the external eye.
  • Differentiate local conditions of the external eye with cranial nerve II, III, IV, V, VI and VII.
  • Describe techniques of examination of the internal eye such illumination, observation, and special tests and their relevant clinical findings associated with local external eye disease.
  • Recognize the appearance of common eyelid conditions such as chalazion, internal and external hordeolum, blepharitis, blepharospasm, dacrocystitis, and a wide variety of others.
  • Identify and perform methods for examining the external eye for conjunctivitis, episceritis and others.
  • Perform the technique of removing a foreign body from the external eye.
  • Identify and describe pathological changes associated with disease of the cornea.

Ferezy, DC, DACAN, FIACN

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$40.00 USD

Neurology 212g
Physical Diagnosis: Evaluation of the Abdomen

1.0

  • Recall the location of the organs in the abdomen.
  • Define various regions of the abdomen.
  • Describe techniques of examination including observation, palpation, percussion and special tests and their relevant clinical findings associated with abdominal disease.
  • Recognize signs and symptoms of abdominal visceral disease including differentiation of symptoms by hollow versus solid viscera.
  • Identify somatic locations of pain associated with abdominal visceral disease.
  • Describe changes in stool and vomitus associated with various pathological conditions.

Ferezy, DC, DACAN, FIACN

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Neurology 212f2
Grand Rounds in Family Practice

1.0

  • Relate relatively common but sometimes challenging patient cases including myocardial infarction, alcoholic hepatitis, A-V malformation and misdiagnosed limb paralysis.
  • Explain diagnostic and therapeutic considerations in myocardial infarction, alcoholic hepatitis, A-V malformation and misdiagnosed limb paralysis.
  • Give examples of diagnostic and therapeutic considerations in myocardial infarction, alcoholic hepatitis, A-V malformation and misdiagnosed limb paralysis.
  • Describe diagnostic and therapeutic considerations in myocardial infarction, alcoholic hepatitis, A-V malformation and misdiagnosed limb paralysis.

Ferezy, DC, DACAN, FIACN

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Neurology 212f
Grand Rounds in Family Practice

1.0

  • Relate relatively common but sometimes challenging patient cases including vitamin B12 deficiency, metabolic conditions, drug toxicity, neuropathy, lymphoma and drug diversion.
  • Explain diagnostic and therapeutic considerations in vitamin B12 deficiency, neuropathy, drug toxicity, neuropathy, lymphoma and drug diversion.
  • Give examples of diagnostic and therapeutic considerations in vitamin B12 deficiency, neuropathy, drug toxicity, neuropathy, lymphoma and drug diversion.
  • Describe diagnostic and therapeutic considerations in vitamin B12 deficiency, neuropathy, drug toxicity, neuropathy, lymphoma and drug diversion.
  • Demonstrate diagnostic and therapeutic considerations in vitamin B12 deficiency, neuropathy, drug toxicity, neuropathy, lymphoma and drug diversion.

Ferezy, DC, DACAN, FIACN

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Neurology 212e2
Grand Rounds in Family Medicine

1.0

  • Outline relatively common but sometimes challenging patient cases.
  • Comprehend diagnostic and therapeutic considerations in multiple pathological conditions.
  • Demonstrate knowledge of laboratory tests for alcoholic cirrhosis.
  • Recite abnormal blood pressure parameters in malignant hypertension.

Ferezy, DC, DACAN, FIACN

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Neurology 212e
Cases in Endocrinology and Metabolic Disease

1.0

  • NOTE: This course contains the same content as Physical Diagnosis 128
  • Relate relatively common but sometimes challenging patient cases
  • Explain diagnostic and therapeutic considerations in thyroid disease
  • Give examples of diagnostic and therapeutic considerations in drug toxicity
  • Describe diagnostic and therapeutic considerations in diabetic neuropathy
  • Demonstrate diagnostic and therapeutic considerations in vitamin deficiency

Ferezy, DC, DACAN, FIACN

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$22.00 USD

Neurology 212d
Physical Diagnosis: Cardiac Auscultation Points, Breath Sounds and Breathing Abnormalities

1.0

  • Recall normal chest ratios and differentiate from abnormal chest ratios.
  • Compare and contrast clinical findings associated with various breathing abnormalities.
  • Recognize the location of the cardiac auscultation points and distinguish which structures are best heard at each point.
  • Identify pain producing structures in the thorax.
  • Describe the physics of sound transmission.
  • Define and discuss physical signs in selected abnormalities of the bronchi and lungs.

Ferezy, DC, DACAN, FIACN

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Neurology 212c
Examination of The Lungs

1.0

  • Identify the surface anatomy of the 5 lobes of the lungs.
  • Identify anatomical landmarks related to the lung lobes.
  • Identify, define and discuss normal and abnormal breath sounds.
  • Briefly describe methods of stethoscope use and placement.
  • Define and discuss methods used to analyze breaths during auscultation.

Ferezy, DC, DACAN, FIACN

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Neurology 212b
Exam of the Thyroid and Lymphatic System and Thoracic Landmarks

1.0

  • Identify the anatomical components of the thyroid gland.
  • Identify the anatomical components and drainage areas of the lymphatic vascular system.
  • Identify, define and discuss commonly presenting disorders of the thyroid gland and lymphatic vascular system.
  • Briefly describe methods of medical and conservative treatment for select thyroid and lymphatic illnesses.
  • Define and discuss landmarks of the human thorax and their implication in the clinical examination.

Ferezy, DC, DACAN, FIACN

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Neurology 212a
Physical Diagnosis 1: Physical Examination of Peripheral Arteries and Veins

1.0

  • Identify the anatomical components of the peripheral arterial system.
  • Identify the anatomical components of the peripheral venous system.
  • Identify, define and discuss commonly presenting disorders of the vascular system.
  • Briefly describe methods of medical and conservative treatment for select vascular illnesses.
  • Compare and contrast clinical findings in arterial versus venous disease involving the lower extremity.

Ferezy, DC, DACAN, FIACN

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Neurology 212 c173
A case of facial spasms: functional or organic?

3.0

  • Evaluate a case of an adult female patient who presents with facial spasms and other complaints including facial weakness, slurred speech, and drooling.
  • Differentiate central causes of facial spasm from central causes of facial spasm.
  • Consider the effect of chiropractic adjustments on intracranial arterial function.
  • Develop improved skills in obtaining an accurate case history and performing a neurological examination of patient’s presenting with facial spasms.
  • Improve interpretation of relevant clinical findings of patients presenting with facial spasms.
  • List the differential diagnoses to consider in a patient presenting with facial spasms.
  • Identify portions of the brainstem, origins of the cranial nerves and the relationship between arteries and cranial nerves at the brainstem.

Ferezy, DC, DACAN, FIACN

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$60.00 USD

Neurology 211d2
Dealing with the Dizzy Patient: Part 2

4.0

  • Describe the anatomical structures involved and the overall significance of the Dix-Hallpike Maneuver.
  • Perform the Dix-Hallpike Maneuver.
  • Describe the anatomical structures involved and the overall significance of the Epley Maneuver.
  • Perform the Epley Maneuver.
  • Compare and contrast the use of the Dix Hallpike and the Roll Test.
  • Discuss in detail the proper use of various vestibular function tests (past pointing, veering, balance, gait, etc.), Swivel Chair Test, Swinging Stool Test, Semont Procedure and the Brandt-Daroff exercises.
  • Perform vestibular function tests (past pointing, veering, balance, gait, etc.), Swivel Chair Test, Swinging Stool Test, Semont Procedure and the Brandt-Daroff exercises.

Ferezy, DC, DACAN, FIACN

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$80.00 USD

Neurology 211d1
Dealing with the Dizzy Patient: Part 1

4.0

  • Describe the incidence and prevalence of dizziness as a complaint.
  • Define the term vertigo from a clinical perspective.
  • Identify anatomical components and describe physiological function of the vestibular system.
  • Perform a brief bedside examination for basic evaluation of the dizzy patient.
  • Categorize varieties of conditions causing dizziness and identify which are likely to be amenable to conservative care.
  • Compare and contrast the function of the utricle, saccule and semicircular canals.

Ferezy, DC, DACAN, FIACN

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$80.00 USD

Neurology 211c
Dealing with the Dizzy Patient

2.0

  • Define vertigo and differentiate vertigo in the "dizzy" patient population
  • Identify disorders that cause dizziness and vertigo.
  • Discuss modes of presentation, providers consulted and other aspects.
  • Differentiate primary and secondary dizziness.
  • Understand aspects of serious and other uncommon causes of dizziness.
  • Describe basic anatomy and physiologic function of components of the vestibular system.
  • Demonstrate and comprehend performance of the Dix-Hallpike and Eply Maneuvers.
  • Define and diagnose Benign Positional Paroxysmal Vertigo (BPPV).
  • Perform a bedside examination for evaluation of the dizzy patient.

Ferezy, DC, DACAN, FIACN

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$40.00 USD

Neurology 211b
Headache: A Clinical Discussion

6.0

  • Explore current role of the art and science of obtaining a relevant patient history at the bedside
  • Discuss and demonstrate relevant neurological examination procedures required to examine and diagnose pathological conditions of the nervous system
  • Outline considerations regarding the relationship of the upper cervical spine and headache
  • Summarize characteristics of several clinical headache syndromes, emphasizing recognition and differential diagnosis of pathological conditions
  • Illustrate levels of the central and peripheral nervous system and relate that to the clinical presentation resulting from disease of the various brain and cord areas
  • Outline and organize various categories for headache

Ferezy, DC, DACAN, FIACN

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$120.00 USD

Neurology 211a
Clinical assessment of pain, function, and Neuropathic pain, lower back pain and spinal decompressive traction, disorders Presenting with Dizziness

7.0

  • NOTE: This course contains the same contents as Spinal Decompression 150, Physical Diagnosis 127, Neurology 110 through 112 and Neurological Exam 106
  • Perform a clinical assessment of pain and function
  • Explain the psychophysiological profile of pain patients
  • Discuss the treatment of pain
  • Define spinal decompression therapy
  • Demonstrate decompression table structure and use
  • Describe the relevant anatomy of the lumbar spine
  • Critically examine published reports of clinical outcomes of decompression therapy
  • Present and discuss clinical outcomes of decompression therapy
  • Determine spinal decompression table treatment protocols
  • Define dizziness
  • Define vertigo and other associated symptoms
  • Discuss cervicogenic dysequilibrium
  • Discuss diagnostic tests to determine the cause of vertigo
  • Explore current understanding of pain concepts, physiology and theories behind neuropathic pain
  • Discuss in detail the relevant neurological anatomy and functional neurology
  • Describe the anatomy and physiology of relevant components of human nervous system as it relates to pain receptors and neural integration
  • Describe the anatomy and physiology of relevant components of human nervous system as it relates to neural plasticity, articular neurology, and mechanisms of pain
  • Explore current understanding of pain concepts, physiology and theories behind neuropathic pain and allodynia
  • Discuss the importance of the neurological implications of a nerve injury
  • Describe mechanisms of neural plasticity
  • Describe the anatomy and physiology of relevant components of human nervous system as it relates to neural plasticity, articular neurology, and mechanisms of pain
  • Analyze current literature regarding spinal adjustments, and break down concepts, physiology and theories behind chiropractic treatment
  • Appraise new and existing ideas related to mechanisms involved whereby chiropractic spinal adjustments might effect the vascular and nervous system
  • Describe the anatomy and physiology of relevant components of human nervous system as it relates to chiropractic adjustments, neural plasticity, articular neurology, and mechanisms of pain
  • Explore current understanding of pain physiology and theories behind neuropathic pain, allodynia and proposed treatment using chiropractic adjustments

Ferezy, DC, DACAN, FIACN

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$140.00 USD

Neurology 210a
The subluxation complex and the chiropractic adjustment

6.0

  • Evaluate the subluxation complex and the chiropractic adjustment.
  • Develop a working knowledge of the neurology of spinal joints and how this may be altered by a spinal subluxation complex.
  • Consider the safety and effectiveness of chiropractic adjustments through a review of the scientific literature and understanding of a decline in literature integrity and literature bias.
  • Consider the scientific literature regarding chiropractic adjustments and a measurable decrease in pain.
  • List and identify the components of the synovial joint and spinal joint mechanoreceptors.
  • Consider activities in and around the nervous system that occur after nerve tissue injury.
  • Distinguish different levels of nervous system involvement in neuropathic pain, including the peripheral neuron, the dorsal root ganglia and the dorsal horn neurons, as well as concepts of descending inhibition.
  • Analyze the goals and effects of the chiropractic adjustment on pain.
  • Examine the scientific literature regarding the physiological effects of a subluxation and adjustment upon non-musculoskeletal systems.

Ferezy, DC, DACAN, FIACN

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$120.00 USD

Neurology 209f
Aspects of Lower Motor Neuron Paralysis.  Anterior Poliomyelitis, Polio Vaccination and Chiropractic Treatment.

4.0

  • Compare and contrast chiropractors of the 1940s with modern day chiropractors.
  • Define neuropathy.
  • Recite the major points related to chiropractic physical rehabilitation of neuropathy.
  • Contrast and compare medical treatment of polio in the 1940s, to chiropractic treatment of polio at the same time.
  • List potential reasons related to public hygiene which may account for disease epidemics.
  • Discuss facts related to "Sister Kenny" in regard to her credentials, her claims, and her notoriety.
  • Itemize the early chiropractic colleges and discuss Willard Carver school of thought and the "mixers".
  • Critically evaluate the world health organization's campaign to eradicate polio.
  • Discuss the ethics of herd immunity.
  • Compare and contrast individual interests vs. societal interests.
  • Discuss the types, risks and benefits of the inactive polio virus (injected).
  • Discuss the risks and benefits of the oral polio virus (live, attenuated).
  • List the types of wild polio virus.
  • Define vaccine associated paralytic polio mile items (VAPP)
  • Define circulating vaccine derived polio virus.
  • Discuss the concepts of risk: benefit ratio.
  • Discuss the transmission and pathophysiology and list the presenting signs and symptoms of a polio virus infection.
  • List the different types of Polio virus infection.
  • Quantify the various affects of the polio virus on different groups of individuals.
  • Itemize ethical concerns regarding Dr. Jonas Salk.
  • Graph the incidence of polio cases after other vaccines were introduced and after the definition of a polio diagnosis was altered.
  • Discuss SV40 tainted vaccines.
  • Define acute flaccid paralysis as it relates to new “non-polio” outbreaks.

Ferezy, DC, DACAN, FIACN

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$80.00 USD

Neurology 209e
CVD – Vessel Anatomy, Irrigation Areas & Related Agnosias, Apraxic and Aphasic Syndromes.

5.0

  • Outline topography and discuss internal anatomy of the cortex.
  • Illustrate and list functions of the various lobes of the brain.
  • Identify and describe anterior and posterior intracranial circulatory patterns.
  • Relate cortical anatomy with electrode placement when eliciting somatosensory evoked potentials.
  • Identify irrigation distribution of all major intracranial arteries.
  • Diagram irrigation to the levels of the spinal cord.
  • Describe intracranial venous drainage of the skull and differentiate between dural sinuses, boney sinuses and cerebral veins.
  • List areas of the cortex responsible for vision, hearing and touch and explain their interaction with the association cortex.
  • Give examples traits and characteristics which are associated with hemisphere dominance.
  • Define and differentiate the agnosias, such as apraxia, aphagia, etc.
  • Define constructional apraxia, and discuss the clinical significance.
  • Quantify the incidence of various types of neurovascular disease.
  • Contrast and compare strokes from a vascular anatomical and etiology viewpoint.
  • List and discuss choices for various forms of imaging based upon suspected stroke etiology.
  • Identify treatable, untreatable and possible risks for cerebrovascular accident. 
  • Identify medical and conservative options for treatment of cerebrovascular accident risk factors.

Ferezy, DC, DACAN, FIACN

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$100.00 USD

Neurology 209d
Upper Extremity Neurovascular Entrapment Syndromes

1.0

  • Recite the types of Thoracic Outlet Syndromes and identify which types are “real” and which are disputed.
  • Demonstrate different clinical maneuvers designed to identify Thoracic Outlet Syndromes.
  • Identify the anatomical structures thought to be responsible for entrapment in the various Thoracic Outlet Syndromes.
  • Discuss the significance of the nine fibrous bands discussed by Roos.
  • Describe the anatomical and physiological changes that are thought to occur post-accident, resulting in a traumatic variety of Thoracic Outlet Syndrome. 
  • Differentiate the compressive causes of upper extremity paresthesia using orthopedic and neurological testing.
  • Contrast and compare the resultant clinical profile expected with upper extremity compression of vascular structures versus compression of neural structures.
  • Define and perform orthopedic and neurological tests used to determine upper extremity compression of neurovascular structures.

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Neurology 209b
Considerations in Management of Carpal Tunnel Syndrome

1.0

  • Recite the incidence and prevalence of Carpal Tunnel Syndrome.
  • Discuss the cost of Carpal Tunnel Syndrome on society.
  • Identify disorders and situations that Carpal Tunnel Syndrome.
  • Describe the common symptoms of Carpal Tunnel Syndrome.
  • Define the anatomical boarders of the Carpal Tunnel Syndrome.
  • Differentiate the methods of Carpal Tunnel Release Surgery.
  • Describe the scientific literature comparing different methods of Carpal Tunnel Release Surgery.

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Neurology 209a
Issues of sexual misconduct and gender sensitivity

2.0

  • NOTE:  This course contains the same content as Boundary 113
  • Define and discuss professional boundaries
  • Define and discuss sexual misconduct
  • Sensitize The D.C. To Issues Relating to Sexual Interaction With The Patient
  • Discuss the problem of sexual misconduct, either real or perceived
  • Define and discuss specific examination procedures
  • Provide methods for recording examinations and incidents
  • Discuss case of alleged sexual misconduct
  • Discuss strategies to avoid misunderstandings that may lead to charges of sexual misconduct

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Neurology 208e
Toxic, Metabolic and Neurodegenerative Diseases Affecting the Nervous System

4.0

Hour 1

  • Describe the most common laboratory procedures used to diagnose infections of the central nervous system, including lumbar puncture indications, contraindications and complications.
  • Recite characteristics and components of normal cerebrospinal fluid.

Hour 2

  • Define the acquired immunodeficiency syndrome and how it affects the nervous system.
  • Discuss Lyme disease, its vectors of transmission, pathogenesis, clinical presentation, clinical diagnosis and therapeutic options.
  • Compare and contrast stage I, stage II and stage III Lyme disease.

Hour 3

  • Identify multiple types of infections capable of producing spinal meningitis and encephalitis.
  • Compare and contrast bacterial meningitis from viral meningitis.
  • Discuss serious nervous system toxins such as tetanus and botulism.

Hour 4

  • Discuss other nervous system infections including brucellosis, psittacosis, syphilis, tuberculosis, sarcoidosis, rickettsial, protozoan, viral and fungal infections of the nervous system.
  • Recognize and act appropriately in cases of suspected Reye syndrome.
  • Recite and perform appropriate universal precautions necessary to avoid the transmission of communicable diseases in the chiropractic practice.

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Neurology 208c
Congenital Disorders of the Nervous System

4.0

Hour 1

  • Discuss the etiology of congenital conditions of the brain and spinal cord.
  • Recite statistics regarding incidence and prevalence of neural tube defects.

Hour 2

  • Describe common forms and categories of neural tube defects.
  • Recognize various forms of neural tube defects at birth, in infant life as well as on advanced imaging studies.

Hour 3

  • Identify defects of the cranial cervical junction including categorizing Chiari Malformation and discuss clinical significance and management of patients with Chiari Malformation I, II and III.
  • Utilize plain film radiometrics to identify multiple forms of cranial cervical junction deformities.

Hour 4

  • Discuss various congenital syndromes including Dandy-Walker Syndrome and Mobius Syndrome.
  • Compare and contrast different types of developmental defects such as hydrocephalus, crainiosynostosis, achondroplasia, microcrania, and others.

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Neurology 208b
Recognizing Tumors Involving the CNS

4.0

Hour 1

  • Recite statistics regarding the percentage of primary versus secondary tumors found in the central nervous system.
  • Recognize the signs and symptoms of a patient with an intracranial or spinal canal tumor.

Hour 2

  • Describe the pathophysiological process associated with neoplasia.
  • Discuss the most common types of primary intracranial tumors, metastatic neoplasms and other spinal cancers.

Hour 3

  • Identify advanced imaging studies of various types of nervous system tumors.
  • Describe mechanisms of cerebrospinal fluid flow in their association with symptoms caused by intracranial tumors.

Hour 4

  • Contrast and compare the signs and symptoms associated with tumors arising in various parts of the spinal cord.
  • Discuss various forms of medical treatment for patients with nervous system tumors.

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Neurology 208a
Demyelinating Disease, Recognition and Chiropractic Management

4.0

Hour 1

  • Recite general information regarding incidents and prevalence of multiple sclerosis in the United States, the United Kingdom and Canada.?
  • Describe the pathophysiological process believed to be responsible for the most common types of multiple sclerosis.

Hour 2

  • Recognize the common signs and symptoms of a patient presenting with demyelinating disease.
  • Recognize typical lesions in the brain and spinal cord associated with multiple sclerosis on MRI studies.
  • Define the McDonald criteria for the diagnosis of multiple sclerosis.

Hour 3

  • Identify various blood tests for diseases that may mimic multiple sclerosis.
  • Compare and contrast the category types of multiple sclerosis.
  • Describe the common medical treatment for multiple sclerosis.

Hour 4

  • Recite studies associated with complementary and alternative approaches to management of patients with multiple sclerosis.
  • Synthesize a plan for the management of patients with multiple sclerosis.

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Neurology 207c
Aspects of the Clinical Examination

5.0

  • Recite relevant anatomy of the peripheral nervous system including the brachial plexus, upper limb nerves, lumbosacral plexus and lower limb nerves.
  • Define and draw the brachial plexus.
  • List the nerves of the upper limb.
  • Compare and contrast the anatomy of the median and the ulnar nerves.
  • Describe innervation of the major nerve branches of the major nerve divisions of the brachial plexus.
  • Discuss the most common compressive lesions of the upper extremity involving the peripheral nervous system.
  • List the muscles most commonly tested during EMG of the upper extremity.
  • Define and draw the lumbosacral plexus.
  • List the nerves of the lower limb.
  • Discuss the most common compressive lesions of the lower extremity involving the peripheral nervous system.
  • List the muscles most commonly tested during EMG of the lower extremity.
  • Discuss the distinction between motor and sensory neural fibers and salutatory versus local circuit conduction.
  • Compare and contrast the two types of compound potentials and discuss waveform morphology and parameters.
  • Describe effects and patterns of demyelination.
  • Describe the effects of axonal loss.
  • Identify the electro-physiologic changes that may be noted in disease of the neuromuscular junction.
  • Discuss late responses (F-waves and H-Reflexes) and describe the performance and clinical significance of each.
  • Identify components involved in the tendon tap response.
  • Thoroughly discuss all aspects of median and ulna nerve testing, including common congenital anomalies that are like to be encountered in the patient population.

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Neurology 207b
Physiological Basis of Nerve Conduction and Bioinstrumentation

3.0

  • Compare and contrast Compound Muscle Action potential (CMAP), Sensory Nerve Action Potential (SNAP) and Motor Unit Potential (MUP).
  • List the components of a spinal cord alpha motor neuron.
  • Describe the basic structure of Schwann Cells and myelin.
  • Discuss the role of Schwann Cells and myelin in action potential transmission.
  • Recite the levels of the neuraxis which may be involved in diease that is detectable by electrodiagnostic testing.
  • List the types and levels of nervous system compression.
  • List common reasons and disorders for referral for electrodiagnostic testing.
  • Describe a routine electrodiagnostic encounter.
  • Demonstrate the position of electrodes in a typical median nerve study through the carpal tunnel.
  • List the most common neuropathies of the upper and lower extremities.
  • Compare and contrast typical electrodiagnostic findings for radiculopathy versus neuropathy. 
  • Define and discuss the “Gold Standard” portions of the electrodiagnostic examinations.
  • Discuss single fiber EMG.
  • Identify the components of the needle EMG examination and discuss how various pathological conditions might be demonstrated by each component of the examination.
  • Describe the morphology of positive sharp waves, fibrillations and motor unit potentials.
  • Describe the morphology of positive sharp waves and fibrillations.
  • Identify normal from abnormal patterns of muscular recruitment under minimal, moderate and maximal muscle contraction. 
  • List various causes of radiculopathy.
  • Discuss the history of radiculopathy through time.
  • Contrast and compare various causes of radiculopathy.
  • Discuss the need for and types of advanced imaging following abnormal findings on an electrodiagnostic examination.
  • Discuss the utility of electrodiagnosis to the doctor of chiropractic.

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Neurology 207a
Introduction to Electrodiagnostic Medicine

4.0

  • List several textbooks on electrodiagnostic medicine and discuss the benefits and limitations of each text.
  • Recite several applications of electrodiagnostic medicine and discuss the utility of each of the tests performed.
  • Describe the components required to perform an electrodiagnostic examination.
  • Compare and contrast peripheral nerve injury classifications.
  • Define some of the current terminology used in electrodiagnostic medicine.
  • Compare and contrast the different types of electrodes used in electrodiagnostic medicine.
  • Describe terminal motor latencies.
  • Describe sensory and motor conduction velocities and studies.
  • Describe electromyography.
  • Discuss orthodromic and anti-dromic testing.
  • Define motor unit potentials and discuss the normal and abnormal phases.
  • Describe the varieties of evoked potentials and discuss the clinical utility of ordering each test.
  • Describe the varieties of late potentials and discuss the clinical utility of ordering these tests.
  • Identify the relevant neuroanatomy of the peripheral nervous system.
  • Demonstrate median and ulnar nerves and the position of the various electrodes in common motor and sensory electrodiagnostic studies of the median and ulnar nerves.
  • Discuss the conditions and circumstances when electrodiagnostic testing of the central nervous system may be beneficial or necessary.
  • Describe the various electrodiagnostic procedures for the peripheral nervous system.
  • Differentiate between motor unit potentials (MUP’s), fibrillations, positive sharp waves and sensory nerve action potentials (SNAP’s). 
  • Contrast and compare electrodiagnostic tests for extremity complaints such as weakness and sensory loss.
  • Define the role of electrodiagnosis in clinical practice.

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Neurology 206a3
Electrodiagnostic Testing III

4.0

  • Define the terms “spasm, interexaminar and intraexaminer reliability, global myoelectric activity and muscle fatigue”.
  • Identify the various components of the modern paraspinal electrode EMG machine. recording.
  • Compare and contrast the use of surface electrodes in the traditional electromyographic examination versus the paraspinal surface electrode electromyographic examination.
  • Recite several scientific studies regarding paraspinal surface electrode electromyographic, and strenghs and weaknesses of each study.
  • Describe tissue filtering, best ways to overcome it, and explain its significance in obtaining useful data.
  • Recite the names of the paraspinal musculature organized by their depth, action and activation response.
  • Discuss performance and utility of the test for the “flexion relaxation” phenomenon.

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Neurology 206a2
Electrodiagnostic Testing II

4.0

  • Define the terms “electrodiagnosis, nerve conduction study, needle electrode examination, late responses and evoked potentials”.
  • Identify the various components of the action potential recording.
  • Compare and contrast synaptic versus electrical nerve stimulation.
  • Recite the components of the modern electromyographic machine.
  • Describe the different types of electrodes used in an electrodiagnostic examination and include the purpose and benefits/drawbacks to each type.
  • Categorize the types of electrodiagnostic testing.
  • Discuss performance and use of electrodiagnostic testing, including conduction studies and latencies, late responses (including the “H” reflex and “F” wave) and evoked potentials.
  • Properly order and interpret the results of electrodiagnostic testing.

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Neurology 206a1
Electrodiagnostic Testing I

4.0

  • Compare and contrast neuronal cells from the neuroglial cells.
  • Identify various types of neurons of the peripheral and central nervous system.
  • Describe the types of neuroglial cells found in the central nervous system and peripheral nervous system.
  • Categorize the types of mammalian nerve fibers by neuron a diameter, conduction velocity and susceptibility to compression.
  • Describe the incidence and prevalence of dizziness as a complaint.
  • Define the term “motor unit” from a clinical perspective.
  • Compare and contrast type one and type two muscle fibers.
  • Identify anatomical components and describe physiological function of the cell membrane.
  • Define the terms summation and generator potentials.

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Neurology 206 c133
Cases in Neurology: Concussion. Assault on an 18 year Old Female

1.0

  • List the differential diagnoses that may accompany various symptoms. 
  • Describe various essential elements of the history taking process.
  • Use proper language and nomenclature when discussing brain injury.
  • Recognize aspects of so called “post concussion syndrome” or Mild Traumatic Brain Injury (mTBI).
  • Recite levels of consciousness.
  • Discuss scoring criterion when using the Glascow Coma Scale.
  • Identify abnormal imaging findings associated with concussion on diffusion tensor tractography.
  • Define and describe “myoclonic jerks”.

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Neurology 206 c132
Cases in neurology: Numbness and weakness in a 50 year old male

2.0

  • List the differential diagnoses that may accompany various symptoms.  
  • Describe various essential elements of the history taking process.
  • List differential diagnoses for this and similar cases.
  • Itemize and describe several tests of lower extremity motor and reflex function.
  • Recognize a true extensor toe sign from an equivocal or false finding.
  • Contrast and compare aspects of various disorders causing cervical spine myelopathy.   
  • Use proper language and nomenclature when producing a report for referring physicians.
  • Recognize aspects of spinal cord disease.


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Neurology 206 c131
Video Case: Pain, Weakness and Unsteadiness

1.0

  • Evaluate an unrehearsed, real doctor/patient encounter; regarding a case of an adult female patient who complains of lower back pain; pain radiating down her left lower extremity to her heel; weakness in her thighs; and unsteadiness.
  • Develop improved skills in obtaining an accurate case history and performing a neurological examination of patient’s presenting with pain, weakness and unsteadiness.
  • Improve interpretation of relevant clinical findings of patient presenting with pain, weakness and unsteadiness.
  • List the clinical presentations of various complaints and the approach to diagnosis of patient’s presenting with pain, weakness and unsteadiness.
  • Consider the differential diagnoses of patient’s presenting with pain, weakness and unsteadiness.

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Neurology 206 c129
Cases in neurology: Multiple symptoms in a 35 year old female

2.0

  • List the differential diagnoses that may accompany various symptoms
  • Describe various essential elements of the history taking process
  • List several components of the mini mental status examination
  • Itemize and describe several tests of cerebellar function
  • Contrast and compare aspects of malingering and somatoform disorders
  • Use proper language and nomenclature when producing a report for referring physicians
  • Recognize aspects of functional illness

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Neurology 206 c110c137
Electrodiagnosis Case: Carpal Tunnel Syndrome

1.0

  • List the electrodes necessary to perform in Electrodiagnosis nerve conduction study
  • Describe the placement of the various electrodes in conduction studies of the median nerve at the wrist
  • Draw a simple diagram of the carpal tunnel, defining the boundaries
  • Itemize parts of a thorough chiropractic management plan for carpal tunnel syndrome

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Neurology 205 Session 5
All Courses in the Neurology 205 Series

24.0

  • This allows you to purchase all 24 hours of 205 level courses.  Please see the educational objectives listed for each individual 205 course

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Neurology 205 c128-130
Complete Neurological Examination - Case 128 - 130

3.0

  • Evaluate two unrehearsed, real doctor/patient encounters; the first case is that of an adult male patient with multiple sclerosis.  The second case is that of an adult male with cerebral palsy.
  • Develop improved skills in obtaining an accurate case history and performing an examination of patient’s presenting with multiple sclerosis and cerebral palsy.
  • Improve interpretation of relevant clinical findings of patient’s presenting with multiple sclerosis and cerebral palsy.
  • List the clinical presentations of various complaints and the approach to diagnosis of patient’s presenting multiple sclerosis and cerebral palsy.
  • Consider the differential diagnoses of patient’s presenting with multiple sclerosis and cerebral palsy.

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Neurology 205 c126
Complete Neurological Examination - Case 126

2.0

  • Evaluate an unrehearsed, real doctor/patient encounter involving an elderly women presenting with a sudden onset of lower extremity paralysis.
  • Develop improved skills in obtaining an accurate case history and performing an examination of a patient presenting with a sudden onset of lower extremity paralysis.
  • Improve interpretation of relevant clinical findings of patient’s presenting with a sudden onset of lower extremity paralysis.
  • List the clinical presentations of various complaints and the approach to diagnosis of patient’s presenting with a sudden onset of lower extremity paralysis.
  • Consider the differential diagnoses of presenting with a sudden onset of lower extremity paralysis.

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Neurology 205 c123-125
Complete Neurological Examination - Case 123-125

2.0

  • Evaluate two unrehearsed, real doctor/patient encounter; the first of a patient presenting with simultaneous radiculopathy, polyneuropathy and mononeuropathy and the second of a patient presenting with migraine headache and related trigeminal neuralgia.
  • Develop improved skills in obtaining an accurate case history and performing an examination of patient’s presenting with radiculopathy, polyneuropathy and mononeuropathy, migraine headache and trigeminal neuralgia.
  • Improve interpretation of relevant clinical findings of patient’s presenting with radiculopathy, polyneuropathy and mononeuropathy, migraine headache and trigeminal neuralgia.
  • List the clinical presentations of various complaints and the approach to diagnosis of patient’s presenting with radiculopathy, polyneuropathy and mononeuropathy, migraine headache and trigeminal neuralgia.
  • Consider the differential diagnoses of patient’s presenting with radiculopathy, polyneuropathy and mononeuropathy, migraine headache and trigeminal neuralgia.

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Neurology 205 c122
Complete Neurological Examination - Case 122

1.0

  • Evaluate an unrehearsed real doctor/patient encounter of a patient presenting carpal tunnel syndrome (CTS) and chronic neck pain.
  • Develop improved skills in obtaining an accurate case history and performing an examination of a patient with carpal tunnel syndrome (CTS) and chronic neck pain.
  • Improve interpretation of relevant clinical findings in a patient with carpal tunnel syndrome (CTS) and chronic neck pain.
  • List the clinical presentations of various complaints and the approach to diagnosis of a patient with carpal tunnel syndrome (CTS) and chronic neck pain.
  • Consider the differential diagnosis of patients with carpal tunnel syndrome (CTS) and chronic neck pain.
  • Comprehend the principle of ongoing, medically necessary chiropractic treatment of a patient with carpal tunnel syndrome (CTS) and chronic neck pain.

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Neurology 205 c121
Complete Neurological Examination - Case 121

2.0

  • Evaluate an unrehearsed real doctor/patient encounter of a patient presenting following treatment for a malignant nerve sheath tumor involving the L4 nerve root.
  • Develop improved skills in obtaining an accurate case history and performing an examination of a patient with a malignant nerve sheath tumor involving the L4 nerve root.
  • Improve interpretation of relevant clinical findings in a patient with a malignant nerve sheath tumor involving the L4 nerve root.
  • List the clinical presentations of various complaints and the approach to diagnosis of a patient with a malignant nerve sheath tumor involving the L4 nerve root.
  • Consider the differential diagnosis of patients with a malignant nerve sheath tumor involving the L4 nerve root.

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Neurology 205 c120
Complete Neurological Examination - Case 120

2.0

  • Evaluate an unrehearsed real doctor/patient encounter of a patient presenting with chronic spasm of the muscles of the lower face and tongue.
  • Develop improved skills in obtaining an accurate case history and performing an examination of a patient with a oromandibular dystonia.
  • Improve interpretation of relevant clinical findings in a patient with oromandibular dystonia.
  • List the clinical presentations of various complaints and the approach to diagnosis of a patient oromandibular dystonia.
  • Differentially diagnose patients with oromandibular dystonia.

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Neurology 205 c119
Complete Neurological Examination - Case 119

2.0

  • Evaluate an unrehearsed real doctor/patient encounter of a patient presenting with a tremor of the left upper extremity.
  • Develop improved skills in obtaining an accurate case history and performing an examination of a patient with a tremor of the left upper extremity.
  • Improve interpretation of relevant clinical findings in a patient with a tremor of the left upper extremity.
  • List the clinical presentations of various complaints and the approach to diagnosis of a patient with a brachial plexus injury, severe arm pain and a tremor of the left upper extremity.
  • Differentially diagnose patients with a tremor of the left upper extremity.

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Neurology 205 c118
Complete Neurological Examination - Case 118

2.0

  • Evaluate an unrehearsed real doctor/patient encounter of a patient presenting with a brachial plexus injury, severe arm pain and a “flail” upper extremity.
  • Develop improved skills in obtaining an accurate case history and performing an examination of a patient with a brachial plexus injury, severe arm pain and a “flail” upper extremity.
  • Improve interpretation of relevant clinical findings in a patient with a brachial plexus injury, severe arm pain and a “flail” upper extremity.
  • List the clinical presentations of various complaints and the approach to diagnosis of a patient with a brachial plexus injury, severe arm pain and a “flail” upper extremity.
  • Differentially diagnose patients with a brachial plexus injury, severe arm pain and a “flail” upper extremity.

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Neurology 205 c117
Complete Neurological Examination - Case 117

1.0

  • Evaluate an unrehearsed real doctor/patient encounter of a patient presenting with shoulder and arm pain.
  • Develop improved skills in obtaining an accurate case history and performing an examination of a patient with shoulder and arm pain.
  • Improve interpretation of relevant clinical findings in a patient with shoulder and arm pain.
  • List the clinical presentations of various complaints and the approach to diagnosis of a patient with shoulder and arm pain.
  • Differentially diagnose patients with shoulder and arm pain.

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Neurology 205 c116
Complete Neurological Examination - Case 116

2.0

  • Evaluate an unrehearsed real doctor/patient encounter of a patient presenting with a sudden onset of dizziness, sensory complaints and ataxia
  • Develop improved skills in obtaining an accurate case history and performing an examination of a patient with a sudden onset of dizziness, sensory complaints and ataxia
  • Improve interpretation of relevant clinical findings
  • List the clinical presentations of various complaints and the approach to diagnosis of a patient with a sudden onset of dizziness, sensory complaints and ataxia
  • Differentially diagnose patients with a sudden onset of dizziness, sensory complaints and ataxia

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Neurology 205 c115
Complete Neurological Examination - Case 115

1.0

  • Evaluate an unrehearsed real doctor/patient encounter of a patient presenting with a shoulder complaint
  • Develop improved skills in obtaining an accurate case history and performing an examination of a patient with a shoulder complaint
  • Improve interpretation of relevant clinical findings
  • List the clinical presentations of various complaints and the approach to diagnosis of a patient with a shoulder complaint
  • Differentially diagnose patients with a shoulder complaint

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Neurology 205 c114
Complete Neurological Examination - Case 114

1.0

  • Evaluate an unrehearsed real doctor/patient encounter of a patient presenting with an acute onset of post traumatic neck pain and unusual “burping” upon neck manipulation
  • Develop improved skills in obtaining an accurate case history and performing an examination of a patient with an acute onset of post traumatic neck pain and unusual “burping” upon neck manipulation
  • Improve interpretation of relevant clinical findings
  • List the clinical presentations of various complaints and the approach to diagnosis of a patient with an acute onset of post traumatic neck pain and unusual “burping” upon neck manipulation
  • Differentially diagnose patients with acute onset of post traumatic neck pain and unusual “burping” upon neck manipulation

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Neurology 205 c113
Complete Neurological Examination - Case 113

2.0

  • Evaluate an unrehearsed real doctor/patient encounter of a patient presenting with an acute onset of post traumatic headache
  • Develop improved skills in obtaining an accurate case history and performing an examination of a patient with an acute onset of post traumatic headache
  • Improve interpretation of relevant clinical findings
  • List the clinical presentations of various complaints and the approach to diagnosis of a patient with an acute onset of post traumatic headache
  • Differentially diagnose patients with acute onset of post traumatic headache

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Neurology 205 c112
Complete Neurological Examination - Case 112

1.0

  • Evaluate an unrehearsed real doctor/patient encounter of a patient presenting with an acute onset of headache and facial paralysis
  • Develop improved skills in obtaining an accurate case history and performing an examination of a patient with an acute onset of headache and facial paralysis
  • Improve interpretation of relevant clinical findings
  • List the clinical presentations of various complaints and the approach to diagnosis of a patient with an acute onset of headache and facial paralysis
  • Differentially diagnose patients with acute onset of headache and facial paralysis

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Neurology 204f
Mental Status Examination: A Detailed Discussion and Complete Neurological Examination - Case 110

2.0

  • Define terms relevant to comprehending and performing various aspects of the mental status examination.
  • Categorize the components of the mental status examination.
  • Identify, define and discuss dementia and Disease of the Alzheimer's Type (DAT).
  • Identify, define and discuss the five levels of consciousness.
  • Define and discuss the components of the mental status examination.
  • Compare and contrast dementia and depression.
  • Discuss and describe methods of charting mental status examination findings.

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Neurology 204e
The cerebellar systems and spinal analysis

1.0

  • NOTE:  This course contains the same content as Neurological Exam 105
  • Perform an examination of the systems involved with Movement and Coordination
  • Discuss cerebellar anatomy
  • Differentially Diagnose by applying clinical signs of cerebellar dysfunction
  • Recognize cerebellar syndromes by their anatomical areas
  • Apply specific principles of examination to improve the Chiropractic Spinal Examination
  • Describe specific procedures of the spinal examination

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Neurology 204d
Ancillary neurologic examination procedures

4.0

  • Define terms relevant to comprehending and performing various nervous system tests not typically a part of the motor, sensory and reflex examinations.
  • Review various ancillary tests, including the purpose behind the test as well as test performance.
  • Categorize ancillary neurological tests and explain their use and purpose.
  • Identify, describe and discuss meningeal stretch tests.
  • Identify, describe and discuss neurodynamic tests.
  • Identify, describe and discuss nerve tension tests.
  • Identify, describe and discuss peripheral nerve palpation and Tinel's sign.
  • Identify, describe and discuss Dix-Hallpike test.
  • Identify, describe and discuss pressure algometry and introduce the instruments to perform this test.
  • Identify, describe and discuss sensory threshold testing and introduce the instruments to perform these tests.
  • Discuss the nature and performance of tests used to diagnose defects in function of the neurovascular bundle in the upper and lower extremities (Thoracic Outlet Syndrome).
  • Identify, describe and discuss use of the stethoscope and points to auscultate in the head and neck area

Ferezy, DC, DACAN, FIACN

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Neurology 204c
The Examination of Communication and Knowledge

5.0

  • Define the terms communication, language, and a wide variety of descriptive terms for cortical language and knowledge impairments
  • Review the functions classically associated with the cerebral cortex
  • Categorize cortical deficits and associated patient conditions
  • Identify neurological pathways used by the cerebral cortex
  • Describe in detail concepts of lateralization of brain function and hemisphere "dominance" or "hemisphericity"
  • Describe and demonstrate a schema to maintain a methodical approach to the patient with a communication disorder
  • Visualize a patient with a "split brain disorder"
  • Review and assess concepts and skills necessary to perform an examination of a patient with a communication disorder
  • Compare and contrast loss of neurologic function at the level of the primary modality to disorders of the primary cortical receptive area as well as in the association cortex

Ferezy, DC, DACAN, FIACN

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Neurology 204b
The Examination of Station, Movement and Gait

7.0

  • Define the terms station, movement and gait
  • Define and categorize types of motor systems utilized by the patient and how these are commonly tested at the bedside examination
  • Identify the basic anatomical pathways of central and peripheral nervous system movement control of mechanisms involved in the various movement systems that can be tested in the body
  • Describe in detail the evaluation of station, movement and gait
  • Describe and demonstrate the phases of normal gait 
  • Visualize normal and abnormal gait patterns
  • Review and assess concepts and skills necessary to perform an accurate bedside examination of the station, movement and gait systems
  • View and identify patient video vignettes demonstrating station, movement and gait lecture points
  • Compare and contrast pathological from non-pathological station, movement and gait findings

Ferezy, DC, DACAN, FIACN

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$140.00 USD

Neurology 204a
The Somatic Sensory Examination

5.0

  • Define and categorize types of patient sensation commonly tested at the bedside examination
  • Identify the basic anatomical pathways of central nervous system control mechanisms involved in the various sensory systems that can be tested in the body
  • Identify the basic anatomical pathways of peripheral and central nervous system control mechanisms involved in the various sensations that can be tested in the body
  • Describe the evaluation of both superficial and deep sensory systems
  • Review and assess concepts and skills necessary to perform an accurate bedside examination of the sensory system
  • View and identify patient video vignettes demonstrating lecture points
  • Compare and contrast pathological from non-pathological sensory findings

Ferezy, DC, DACAN, FIACN

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$100.00 USD

Neurology 204 Session 4
All Courses in the Neurology 204 Series

24.0

  • This allows you to purchase all 24 hours of 204 level courses.  Please see the educational objectives listed for each individual 204 course

Ferezy, DC, DACAN, FIACN

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$408.00 USD

Neurology 203d
The Somatic Reflex Examination

3.0

  • Define and categorize types of patient reflexes commonly tested at the bedside examination
  • Identify the basic anatomical pathways of central nervous system control mechanisms involved in the various reflexes that can be tested in the body
  • Identify the basic anatomical pathways of peripheral nervous system control mechanisms involved in the various reflexes that can be tested in the body
  • Describe the evaluation of the four basic types of testable reflexes
  • Review and assess concepts and skills necessary to perform an accurate bedside examination of the reflex system
  • View and identify patient video vignettes demonstrating lecture points
  • Compare and contrast pathological from non-pathological reflex findings

Ferezy, DC, DACAN, FIACN

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Neurology 203c
The Voluntary Somatic Motor System Examination

3.0

  • Identify the basic anatomical pathways of central nervous system control mechanisms involved in voluntary movement of the body
  • Identify the basic anatomical pathways of peripheral nervous system and neuromuscular control mechanisms involved in voluntary movement of the body
  • Describe the evaluation of strength and the functional roles of muscles
  • Discuss the categorizations and terminology used describing the various varieties of muscular contraction
  • Review and assess concepts and skills necessary to perform an accurate bedside examination of the voluntary motor system
  • View and identify patient video vignettes demonstrating lecture points
  • Recognize examination procedures and signs to distinguish primary muscular disease (myopathy)
  • Define and categorize involuntary movements
  • Compare and contrast pathological from non-pathological involuntary movements

Ferezy, DC, DACAN, FIACN

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Neurology 203b
Blind spot testing and cortical perceptual mapping

1.0

  • Describe the procedure for blind spot measurement by manual perimetry
  • Contrast blind spot measurement by manual perimetry with automated perimetry
  • Distinguish adequate test retest reliability, for both intra-examiner and inter-examiner reliability
  • Recognize concepts of adequate test validity
  • Identify relevant aspects of visual neuroanatomy and neuro-circuitry
  • Review and assess various contentions elaborated in the paper "Changes in Brain Function after Manipulation of the Cervical Spine”

Ferezy, DC, DACAN, FIACN

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$20.00 USD

Neurology 203a
The Cranial Nerve Examination

8.0

  • Outline the clinical anatomy of each of the cranial nerves and their origin from the diencephalon and brainstem
  • Summarize clinical function of the corticobulbar pathways
  • Relate information regarding the ocular system, including upper motor neuron, internuclear and lower motor neuron pathways
  • Distinguish between central and peripheral lesions involving cranial nerve function
  • Predict the location of lesions in the visual system by analyzing information from the clinical examination
  • Identify cranial nerve nuclei in the brainstem and discuss their function
  • Describe the clinical function of each of the cranial nerves
  • Describe and demonstrate the clinical bedside examination of each cranial nerve
  • Compare and contrast the effects of lesions involving voluntary, involuntary and emotional movements associated with the cranial nerves
  • Discuss the various common clinical disorders which affect the cranial nerves
  • Discuss common ophthalmoscopic findings, both normal and pathological, which may be observed on the ophthalmoscopic examination
  • Identify anatomical and functional relationships which help explain multiple chiropractic concepts, including that of cervicogenic headache
  • Differentiate between central and peripheral varieties of facial paralysis
  • Break down the various tuning fork tests of hearing
  • Differentiate between neuro-sensory and conductive hearing loss

Ferezy, DC, DACAN, FIACN

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Neurology 203-intro
Introduction to the neurological examination

1.0

  • Identify the components of the neurological examination
  • Demonstrate a basic examination flow and performing tests taking the patient from sitting to standing, to the supine and prone positions
  • Outline "Ferezy's MSR's" which is a pneumonic devise to help recall areas needing to be tested
  • Summarize implications of neurological findings for lesions in various parts of the central nervous system
  • Summarize implications of neurological findings for lesions in various parts of the peripheral nervous system.

Ferezy, DC, DACAN, FIACN

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Neurology 203 Session 3
All Courses in the Neurology 203 Series

22.0

  • This allows you to purchase all 22 hours of 203 level courses. Please see the educational objectives listed for each individual 203 module

Ferezy, DC, DACAN, FIACN

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$374.00 USD

Neurology 203 c109
Complete Neurological Examination - Case 109

1.0

  • Observe doctor patient encounters that focus on evaluation of the patient's complaint
  • Observe doctor patient encounters that focus on aspects of the complete neurological examination
  • Explore the history making process in an actual clinical setting
  • Observe patient examination techniques
  • Identify the key components of a neurologic examination of diplopia
  • Review information regarding evaluation of diplopia.

Ferezy, DC, DACAN, FIACN

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$20.00 USD

Neurology 203 c108
Complete Neurological Examination - Case 108

1.0

  • Observe doctor patient encounters that focus on evaluation of the patient's complaint
  • Observe doctor patient encounters that focus on aspects of the complete neurological examination
  • Explore the history taking process in an actual clinical setting
  • Observe patient examination techniques
  • Identify the key components of a complete neurologic examination
  • Review major aspects of the examination under each component of the clinical neurologic examination

Ferezy, DC, DACAN, FIACN

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$20.00 USD

Neurology 203 c106-c107
Complete Neurological Examination - Case 106 and 107

1.0

  • Observe doctor patient encounters that focus on aspects of the complete neurological examination
  • Explore the history taking process in an actual clinical setting
  • Observe patient examination techniques
  • Identify the key components of a complete neurologic examination
  • Review major aspects of the examination under each component of the clinical neurologic examination
  • Observe doctor patient encounters that focus on evaluation of the mental status of the patient.  

Ferezy, DC, DACAN, FIACN

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$20.00 USD

Neurology 203
The somatic motor system, involuntary movements and non-paralytic movement disorders, the reflex system and Ancillary neurologic examination procedures

3.0

  • NOTE: This course is the same content as Neurological Exam 103, 104
  • Perform and chart a neurological examination of the voluntary motor system and the somatic sensory system
  • Apply results of the examination findings in the differential diagnosis of patients
  • Describe the three neuron pathway involved with sensorineural innervation
  • Discuss multimodal sensations
  • Perform an appropriate examination of the reflexes, including deep tendon, superficial, visceral and pathological reflexes
  • Describe the anatomy associated with reflexes
  • Properly grade and record reflexes
  • Interpret the Results of Reflex Testing

Ferezy, DC, DACAN, FIACN

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$60.00 USD

Neurology 202f
Cervical Spinal Manipulative Therapy (CSMT) and Vertebrobasilar Ischemia (VBI)

5.0

  • Outline methods used and estimations as to the incidence of cervical spinal manipulative therapy and subsequent vertebrobasilar ischemia
  • Review and describe cerebrovascular anatomy and hemodynamics
  • Discuss proposed patho-physiological mechanisms believed responsible for subsequent vertebrobasilar ischemia
  • Review and discuss past and present scientific literature to explore the evolution of what we think we know about the process of cervical spinal manipulative therapy and subsequent vertebrobasilar ischemia
  • Explore issues and examination procedures related to patient assessment as well as vertebrobasilar ischemia recognition and proper diagnosis
  • Define and contrast currently suggested procedures  and develop a vertebrobasilar ischemia plan of action
  • Explore various perspectives and reveal bias in both public media and biomedical journals
  • Identify and define new theoretical concepts and prophylactic therapies

Ferezy, DC, DACAN, FIACN

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Neurology 202e
The Ophthalmoscopic Examination

3.0

  • Describe the reasons for using an ophthalmoscope in the clinical bedside examination
  • Define and contrast the Pan-Optic ophthalmoscope from the common ophthalmoscopes
  • Discuss common settings and features of the ophthalmoscope
  • Define methods of describing findings in the fundus of the eye\
  • Identify and define common systemic and local pathologic processes that may be encountered in the course of the ophthalmoscopic examination.

Ferezy, DC, DACAN, FIACN

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Neurology 202d
Aspects of Functional versus Organic Illness

4.0

  • Define specific terminology including organic disease, non-organic disease, functional disease, somatoform disease, malingering and others
  • Discuss the distinction between somatoform disorders (hysteria) and malingering
  • Describe patient presentations and examination techniques which are useful in somatoform disorders of the special senses
  • Elaborate on the somatic manifestations of somatoform disease in motor and sensory presentations
  • Explore caveats of diagnosing somatoform disorders
  • Discuss completely the performance and usefulness of in office "credibility" tests used to unveil non-organic disorders
  • Define and describe aspects of the malingering patient

Ferezy, DC, DACAN, FIACN

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Neurology 202c
Examination of the Head and Neck

1.0

  • Explore basic principles of the physical examination of the face, head and neck
  • Discuss briefly the relevance the physical examination prior to the neurologic examination
  • Describe in detail rational and procedure for observation, auscultation, palpation and percussion
  • Visualize patient problems and deformities that might go un-noticed by a casual observer
  • Demonstrate specific methods of implementing a brief orthopedic examination of the cervical spine.

Ferezy, DC, DACAN, FIACN

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Neurology 202b
The Assessment of Mental Status

1.0

  • Explore basic principles of the mental status examination
  • Discuss briefly the relevance of maintaining good history taking procedures
  • Describe in detail the need for a mental status assessmen
  • Explore different techniques and a strategy for dealing with mental status problems
  • Demonstrate specific methods of implementing the Mini-Mental State Examination.

Ferezy, DC, DACAN, FIACN

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Neurology 202a
The Patient Interview

2.0

  • Explore basic principles of the patient interview
  • Discuss briefly the relevance of maintaining good history taking procedures
  • Describe in detail the benefits of history questionnaires
  • Explore different types of patient historians and as strategy for dealing with each type
  • Describe specific area constituting a complete patient interview

Ferezy, DC, DACAN, FIACN

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$40.00 USD

Neurology 202-c105
Complete Neurological Examination - Case 105

1.0

  • Observe a doctor sort through a difficult history in a patient encounter where the patient is a female with multiple and unusual complaints
  • Explore the history taking process in an actual clinical setting
  • Observe patient examination techniques
  • Summarize relevant clinical findings
  • Illustrate the clinical presentations of various complaints and the approach to diagnosis
  • Organize findings during the examination and explore for relevancy as applied to diagnosis of the presenting complaint

Ferezy, DC, DACAN, FIACN

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$20.00 USD

Neurology 202-c104
Complete Neurological Examination - Case 104

2.0

  • Observe a doctor patient encounter where the patient is a young female with a primary complaint of tremor
  • Explore the history taking process in an actual clinical setting
  • Observe patient examination techniques
  • Summarize relevant clinical findings
  • Illustrate the clinical presentations of various complaints and the approach to diagnosis
  • Organize findings during the examination and explore for relevancy as applied to diagnosis of the presenting complaint

Ferezy, DC, DACAN, FIACN

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$40.00 USD

Neurology 202-c103
Complete Neurological Examination - Case 103

1.0

  • Observe a doctor patient encounter where the patient is a young female with a primary complaint of a balance problem
  • Improve the history taking process in an actual clinical setting
  • Develop improved patient examination techniques
  • Evaluate relevant clinical findings
  • List the clinical presentations of various complaints and the approach to diagnosis
  • Organize findings during the examination and explore for relevancy as applied to diagnosis of the presenting complaint

Ferezy, DC, DACAN, FIACN

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Neurology 202-c102
Complete Neurological Examination - Case 102

1.0

  • Observe a doctor patient encounter where the patient is a middle aged female with a primary complaint of upper extremity paralysis.
  • Improve the history taking process in an actual clinical setting
  • Develop improved patient examination techniques
  • Evaluate relevant clinical findings
  • List the clinical presentations of various complaints and the approach to diagnosis
  • Organize findings during the examination and explore for relevancy as applied to diagnosis of the presenting complaint.

Ferezy, DC, DACAN, FIACN

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$20.00 USD

Neurology 202-c101
Complete Neurological Examination - Case 101

1.0

  • Observe a doctor patient encounter where the patient is a young female with a primary complaint of a balance problem
  • Improve the history taking process in an actual clinical setting
  • Develop improved patient examination techniques
  • Evaluate relevant clinical findings
  • List the clinical presentations of various complaints and the approach to diagnosis
  • Organize findings during the examination and explore for relevancy as applied to diagnosis of the presenting complaint

Ferezy, DC, DACAN, FIACN

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$20.00 USD

Neurology 202 Session 2
All Courses in the Neurology 202 Series

26.0

  • This allows you to purchase all 26 hours of 202 level courses. Please see the educational objectives listed for each individual 202 module

Ferezy, DC, DACAN, FIACN

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$442.00 USD

Neurology 202
The patient interview, Cranial Nerves, Cervical adjustments and strokes: The complete story

4.0

  • NOTE: This course is the same content as Neurological Exam 101, 102 and Neurology 107
  • Properly record a chief complaint
  • Demonstrate skills to properly perform a patient interview
  • Perform a neurological examination of the head and neck
  • Perform a mental status examination
  • Cite anatomy and function of the cranial nerves
  • Examine the twelve cranial nerves during a clinical examination
  • Discuss disorders of cranial nerves
  • Discuss, in detail, aspects of neural ischemia and Cervical Spinal Manipulation
  • Overview cerebrovascular anatomy and hemodynamics
  • Describe pathophyiological mechanisms in vascular injuries
  • Clinically test a patient to evaluate predisposition
  • Recognize postadjustment vertebrobasilar insufficiency and review case studies

Ferezy, DC, DACAN, FIACN

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$80.00 USD

Neurology 201d
Clinical Aspects of Spinal Cord Disease

2.0

  • Discuss relevant neurological anatomy and function of the meninges
  • Discuss relevant neurological anatomy and function of the arterial and venous CNS circulation
  • Discuss relevant neurological anatomy and function of the cerebrospinal fluid (CSF) circulation
  • Illustrate the clinical presentation resulting from disease of the various areas
  • Outline various categories for vascular CNS lesions
  • Utilize a Grand Rounds type case presentation

Ferezy, DC, DACAN, FIACN

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$40.00 USD

Neurology 201c
Syndromes involving the spinal cord

1.0

  • Explore current role of the art and science of clinical neurology for the chiropractor
  • Discuss relevant neurological anatomy of the spinal cord
  • Summarize relevant functional neurology of the spinal cord
  • Illustrate the clinical presentation resulting from disease of the various cord areas
  • Outline various categories for spinal cord lesions
  • Organize findings of spinal cord disease by anatomical location and clinical presentation

Ferezy, DC, DACAN, FIACN

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$20.00 USD

Neurology 201b-c100
Complete Neurological Examination - Case 100

1.0

  • Observe a doctor patient encounter where the patient is a paraplegic
  • Explore the relevant issues and action protocols involved in acute spinal cord disease
  • Evaluate relevant clinical findings
  • List the clinical presentations of various complaints and the approach to diagnosis
  • Summarize relevant functional neurology of the spinal cord

Ferezy, DC, DACAN, FIACN

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$20.00 USD

Neurology 201a
Introduction to Chiropractic Clinical Neurology: Basic Lower Brain, Brainstem and Spinal Cord Anatomy: A Clinical Perspective

2.0

  • NOTE:  Recommended to have taken Neuro 201-intro and Neuro 201 prior to taking this class
  • Explore current role of the art and science of clinical neurology for the chiropractor
  • Discuss relevant neurological anatomy of the central nervous system, exclusive of the cortex
  • Summarize relevant functional neurology of the central nervous system exclusive of the cortex
  • Illustrate the clinical presentation resulting from disease of the various brain and cord areas
  • Outline various categories for spinal cord lesions
  • Organize findings of central nervous system disease by anatomical location and clinical presentation

Ferezy, DC, DACAN, FIACN

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$40.00 USD

Neurology 201-intro
Anatomy of the skull and spine with dissection of the cervical spine

3.0

  • NOTE:  Recommended to take as first course in 201 series
  • Explore current role of the art and science of clinical neurology for the chiropractor
  • Discuss briefly the relevant neurological anatomy and functional neurology
  • Describe in detail the anatomy and function of the components of the human skull with attention to aspects which may be important to the chiropractic physician
  • Explore the current role of clinical neurology for the practicing chiropractor
  • Describe in detail the anatomy and function of the components of the human spine with attention to aspects which may be important to the chiropractic physician

Ferezy, DC, DACAN, FIACN

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$60.00 USD

Neurology 201 Session 1
All Courses in the Neurology 201 Series

12.0

  • This allows you to purchase all 12 hours of 201 level courses. Please see the educational objectives listed for each individual 201 module

Ferezy, DC, DACAN, FIACN

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$216.00 USD

Neurology 201
Basic Brain Anatomy & Function: The Motor Cortex

3.0

  • NOTE:  Recommended to take after Neuro 201-intro and prior to Neuro 201a
  • Discuss briefly the relevant brain anatomy and functional neurology with focus on the frontal lobe and motor cortex.
  • Describe the anatomy and physiology of the human brain cortex as it relates to the basic tenants of chiropractic and to spinal subluxation.
  • Identify key anatomical components of the frontal lobe and motor cortex.
  • Discuss some of the pioneers in neuroscience underscoring their individual contributions.
  • Draw basic neurological pathways associated with the frontal lobe and motor cortex.
  • Relate function of the frontal lobe and motor cortex to various associated disease conditions.

Ferezy, DC, DACAN, FIACN

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