• Look

    Does the patient appear weak? Does the patient appear uncomfortable? Altered ambulation or general movement? If muscular weakness is present, any respiratory difficulties apparent?

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  • Recognize

    Motor deficits Sensory deficits Mental status changes Paresthesias Laboratory values Does the patient have diabetes mellitus? Are there neurologic signs and symptoms? Results of prior imaging Metastases to spinal cord Other metastases that may cause symptoms

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  • Listen

    Does the patient report weakness (unilateral or bilateral)? Does the patient report new or worsened pain, numbness, or tingling? Does the patient report difficulty walking or holding items?

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