Final answer:
If a patient lacks a focused complaint, a general physical exam is conducted and could include neurological exams like having the patient follow a target with their eyes. Further tests like EEG or CT scan may be necessary, with treatments like medication or surgery recommended based on findings.
Step-by-step explanation:
If a patient does not have a specific complaint to focus the physical exam on, a complete physical exam or a general exam is usually performed. This type of exam is comprehensive and assesses multiple systems of the body to identify any signs of illness. For example, a neurologist might conduct various tests such as having the patient smile, raise their eyebrows, or follow a target with their eyes to assess neurological function. If sensory deficits are observed, as in the scenario where the patient has pins and needles and difficulty feeling the tip of a pen, the neurologist may perform additional neurological tests. To evaluate impaired sensory functions, a neurologist might choose an exam such as placing a 128 Hz tuning fork over a bone to assess vib_ratory sensation.
In the case mentioned above, further tests like an electroencephalography (EEG) or a computerized tomography (CT) scan could be recommended to investigate the underlying causes of the sensory deficits. The treatment plan could include medications or a referral to a neurosurgeon, depending on the diagnosis. Aspirin therapy might also be initiated to limit the risk of blood clots.
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