The essential neurological examination in telemedicine consultations in the context of COVID 19/ O exame neurológico essencial nas consultas de telemedicina no contexto da COVID 19

• Autor(a) principal: Amorim, Maria Bianca Fialho
• Data de Publicação: 2021
• Outros Autores: Oliveira, Gabriela Pires de, Lucio, Luciana Soares, Andrade, Pedro Henrique Alves de, Andrade, Felipe César Gomes de
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Brazilian Journal of Health Review
• Texto Completo: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/31650
• topic: Neurological examination; COVID-19; Telemedicine.

Introduction: In clinical evaluation, the neurological area is one of the most complex and extensive to be analyzed, besides that, when added with Neurophobia it becomes even more difficult. With the COVID-19 Pandemic, there was an accelerated process of migration from outpatient clinics to digital platforms, requiring doctors to update their way of examining patients. The essential neurological examination, the tool that collaborates in this updated assessment, demonstrates greater objectivity in confirming the normality of the neurological system. The practice of checklists is a tool that helps these doctors to better evaluate their patients, optimizing their time and exams, contributing to its clinical diagnosis. Methodology: Review study integrative process that culminated in the elaboration and adaptation of new measures for essential neurological therapy in patients in the context of COVID-19 through Telemedicine. Results and Discussion: When comparing the essential neurological exam with the knowledge experienced by the authors of this article and the global pandemic context, were recommendations on the application of telemedicine were made. In addition to the need for doctor-patient communication to be audible and visible, without external interference so as not to impair the exams, the participation of a patient's companion is important to assist the doctor in exams. With that done, we identified that some of the exams essential neurological conditions become difficult to perform digitally, being: Indirect fundoscopy and reflexes (Biceps, Brachioradialis, Triceps, Patellar, Aquileu). However, exams such as direct fundoscopy, pupillary reflex, eye chase, mimic facial, gait, and plantar reflex can be examined via digital platforms as long as always the patient is accompanied. Conclusion: It is concluded that, amid pandemic, essential neurological examination becomes outdated, but useful in several areas, helping the doctor to take more informed measures.