Neurology Typing Practice

The Neurology pack loads neurological exam, stroke, epilepsy and clinic vocabulary into ClinicalTypingLab, a free trainer that streams clinical note text for you to type. It adds 1,127 items of its own and gives extra weight to 280 general items that neurology notes use often.

Open the trainer with the Neurology pack

Code stroke, shorthand on Neuro exam and localization EEG, EMG and MRI reads, spelled out

Preset links open the trainer with those settings already applied; you can change them afterward.

What neurology notes are made of

A neurology note is built around the exam, and the exam has a fixed order: mental status and language, cranial nerves, motor with strength graded by muscle, reflexes graded 0 to 4+, sensation by modality, coordination and gait. Each abnormal finding gets a side and a pattern. After the exam comes a localization statement, and only then the differential and the plan.

Stroke documentation is time-stamped and full of numbers: last known well, the NIHSS item by item, ASPECTS, perfusion volumes, door-to-needle time, blood pressure targets and thrombectomy results. Seizure and EEG notes use their own vocabulary, such as focal impaired awareness seizures, lateralized periodic discharges and burst suppression. Clinic notes for headache, Parkinson disease, multiple sclerosis and neuropathy follow scales and medication titrations from visit to visit. MS is on the Joint Commission do-not-use list because it can be read as morphine sulfate or magnesium sulfate, so the pack spells out multiple sclerosis and mental status.

What the neurology pack adds

The pack holds 558 note phrases that follow the order of a neuro note: presentations of stroke, seizure, headache, movement, cognitive and neuromuscular complaints; an exam set that goes nerve by nerve and muscle by muscle; localization-first assessments; and plans. Stroke lines get the most detail, from thrombolysis eligibility to post-lysis neuro checks, and neuro ICU lines cover external ventricular drains, hyperosmolar therapy and pupillometry. The 158 report lines cover MRI and CT of the brain and spine, CTA and perfusion, EEG in ACNS terminology, EMG and nerve conduction studies, transcranial Doppler, DaT scans and muscle biopsy. Lines from the pack:

• NIHSS 7: face 1, RUE 2, RLE 1, aphasia 2, dysarthria 1
• DTRs 2+ and symmetric at biceps, triceps, BR, knees, and ankles
• Localizes to R lateral medulla given crossed sensory findings, hoarseness, ipsilateral Horner
• Tenecteplase 0.25 mg/kg iv bolus given at 1042, door-to-needle time 38 minutes
• LPDs over L hemisphere at 1.5 Hz, on IIC
• Fibrillations and positive sharp waves in the right tibialis anterior and posterior, consistent with L5 radiculopathy
• CSF w/ 6 OCBs unique to CSF and elevated IgG index 0.92

Dosing strings cover 119 drugs as standard adult orders, including seizure loading doses, thrombolytics, acute and preventive migraine regimens, and therapies for Parkinson disease, multiple sclerosis and myasthenia gravis. A loading dose reads levetiracetam 60 mg/kg iv x1, max 4500 mg.

How to practice with the neurology pack

Choose Neurology from the Specialty menu above the category chips. About half of what you type then comes from the pack and the rest from the general corpus, and the chips filter both. Exam lines are where hands slow down: 4/5, 2+, b/l and FTN mix digits, slashes and plus signs with ordinary words. Start with Note Phrases, Symptoms & Signs and Anatomy, abbreviations on, in Block mode, which halts the stream at each error until you fix it.

For stroke codes, add Radiology & Path Findings and Physiology & Labs and switch to Cascade, which lets errors pass. Times like 1042 and scores like NIHSS 22 are a good test of the number row. For EEG, EMG and imaging reads, use Radiology & Path Findings with Procedures and Physiology & Labs, abbreviations set to Full, and Even term frequency so rare terms come up as often as common ones.

Flip the Abbreviations toggle to see both forms of one line, for example Finger-to-nose and heel-to-shin without dysmetria bilaterally and FTN and HKS w/o dysmetria b/l. Ten to fifteen minutes per setup is enough to show a pattern in the per-key heatmap. AI Mode works on top of the pack. You do not need an account, and your progress stays in your browser. For full imaging reports across modalities, see radiology report typing.