Examining the Difficult Child
Pp. 14-16 (3)
Mohammed . M.S. Jan
Children are generally more difficult to examine when compared to adults. As well, physicians
are usually judged by parents according to their skills in examining their children. Difficult and poorly
cooperative children remain the most challenging group to examine accurately and completely. The
physician becomes less confident and the neurological signs questionable if the child was uncooperative.
Certainly, repeated examinations and experience play an important role; however, solid knowledge, strong
communication skills, accurate observation skills, and use of proper techniques are crucial for eliciting and
interpreting neurological signs in difficult children. In this chapter, I present some practical tips and skills
that can be utilized to improve the likelihood of obtaining accurate information about the neurological status
of young and difficult children.
Neurological, Examination, General, Difficult, Cerebellum, Uncooperative, Signs,
Organization, Cranial nerves, Motor, Sensory.
Professor & Consultant of Pediatric Neurology Department of Pediatrics Faculty of Medicine King Abdulaziz University Jeddah Kingdom of Saudi Arabia