Clinical reasoning
Clinical teaching and practical ideas for your next study session.
Spasticity Treatment Goals: Choose the Outcome First
Before judging a spasticity intervention, define the patient-important goal and how you will measure it. Learn to pair the Modified Ashworth Scale with goal-matched outcomes for pain, hygiene, transfers, or mobility—and practise the reasoning in a focused revision drill.
Mixed Tremor and Parkinsonism: When DaT-SPECT Helps
A focused guide to ordering DaT-SPECT only when it can resolve a clinically meaningful question—and interpreting the result without overcalling Parkinson disease.
Painful Third-Nerve Palsy After a Negative CTA: When to Escalate
A negative CTA is only as reassuring as the study’s quality and interpretation. Learn what to verify, when MRI adds value, and when catheter angiography deserves discussion.