Final answer:
In the diagnostic evaluation of tearing, start with an initial patient history and eye examination, followed by a neurological exam with sections on mental status, cranial nerve function, motor, sensory, and reflex tests. Additional tests are based on initial results. The video on neurological exams may omit some sections like coordination and gait assessments.
Step-by-step explanation:
An orderly sequence that should be followed in the diagnostic evaluation of a patient complaining of tearing would start with an initial assessment to establish the history of the patient’s complaint and a physical examination focused on the eye. Following the initial assessment, a neurological exam may be performed to identify any neurological causes for the tearing. Based on this comprehensive evaluation, further tests can be conducted as needed, such as imaging or referral to a specialist.The order in which the sections of a neurological exam are tested, as shown in the provided video, begins with an assessment of the patient’s mental status, cranial nerve function, motor function, sensory function, and reflexes. However, a neurological exam may consist of other components as well, such as coordination and gait tests, which might not have been demonstrated in the video. It’s critical to carefully document and record the findings of each step to monitor changes over time and reach the best possible diagnosis. Praxis, which is a part of the neurological exam and involves the patient completing tasks based solely on verbal instructions, was mentioned as a potential early step in a neurological exam.