CEREBROSPINALECTOMY
Resident: "Rock, paper, scissors for who calls neuro." Intern: "Why." Resident: "It's the sixth one tonight." Intern: "So?" Resident: "They know our voices." Six overnight consults is a normal night, and the reason is structural: neurology is one of the few services where the bedside exam still changes management faster than any test, so it gets called for anything that looks like a change in the exam. We do know your voices. We're not mad. We're just awake. Send this to whoever loses the rock-paper-scissors.
EXPLAINED (ACCURACY-CHECKED)
Neurologic consultation is heavily exam-driven; the bedside neurologic examination remains a primary determinant of localisation and urgency, which is why neurology is consulted frequently for acute changes in mental status or focal deficit.
Established neuroanatomy / standard clinical teaching; PubMed and Consensus were not reachable in this unattended run, so no PMID is asserted.
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