ER: "Neuro exam is completely normal." Me: "Did he walk?" ER: "He's in a bed." Me: "Then it is not completely normal. It is completely unperformed." Send this to the co-resident who makes everyone stand up.
EXPLAINED (ACCURACY-CHECKED)
Gait is a required component of the neurological examination and is frequently omitted; gait testing reveals deficits (ataxia, parkinsonism, myelopathy, functional gait disorder) that are not detectable with the patient supine.
Established neurologic examination practice; gait assessment is standard and its omission is a well-documented gap.
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