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Here is a quick mnemonic “COLD & WARMTH to remember about Clinical Examination of Primary Sensation

This can be valuable for patients as well as medical doctors, nurses & students doing their clinical rounds. You can also find it very useful for med exams like USMLE, NEET PG, FMGE, NExT & NCLEX exams

Clinical Examination of Primary Sensation : How To Remember Easily ?

  • C – Clean pin is used to test the sense of pain and then discarded.
  • O – Open your eyes and focus on the pricking or unpleasant quality of the stimulus.
  • L – Locations of hypalgesia should be mapped by proceeding radially.
  • D – Different receptors respond to both cold and warmth.
  • A – Appreciate the temperature sensations by using small containers of water.
  • N – Not just pressure or touch, but the pricking or unpleasant quality is important.
  • D – Do touch a metal object like a tuning fork to test cold sensation.
  • W – Warm temperatures can be tested by holding a metal object under warm water.
  • A – Avoid testing touch on hairy skin due to the profusion of sensory endings.
  • R – Respond as soon as the stimulus is perceived, indicating its location.
  • M – Measure joint position in the distal interphalangeal joint with eyes closed.
  • T – Test joint position by moving the digit passively while stabilizing more proximal joints.
  • H – Hold the index fingers together accurately with eyes closed for proximal joint position sense.


Dr. Arin Nandi

Passionate About Medical Science & Helping Future Doctors Achieve Top Ranks In Medical Exams. He is professionally a dentist as well as a public health expert from JIPMER working in department