ABSTRACT

As a reminder, at the end of history taking and prior to the start of the clinical examination, should, to a great extent, be able to localize the pathological process, determine the underlying aetiology and establish the urgency for treatment. The actual clinical examination serves to confirm hypothesis. The assessment begins when take a detailed history from the patient. Assess for cognitive function, speech, posture, surgical scars, facial asymmetry, inattention and ophthalmoplegia. During the long and short cases, the candidate should have a systematic approach to obtaining a clinical history, performing the clinical examination, interpreting the appropriate investigations and obtaining the underlying diagnosis. A clear management plan should include conservative, medical and surgical treatments. To evaluate for dysphasia, first establish that there is no higher mental dysfunction or a confusional state. Exclude other speech disorders. To simplify, the different types of dysphasia are expressive, receptive, conductive and dysnomial.