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  • Full Neuro Exam

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    rasha
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    This document provides an outline for performing a neurological examination, including assessing mental status, cranial nerves, brainstem function, sensation, and motor function. It lists specific tests and observations for orientation, memory, language, pupillary reflexes, eye movements, facial strength and sensation, swallowing, gait, coordination, reflexes, and strength. The examination evaluates various aspects of consciousness, cognition, cranial nerves, sensation, motor function and coordination.

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    This document provides an outline for performing a neurological examination, including assessing mental status, cranial nerves, brainstem function, sensation, and motor function. It lists specific tests and observations for orientation, memory, language, pupillary reflexes, eye movements, facial strength and sensation, swallowing, gait, coordination, reflexes, and strength. The examination evaluates various aspects of consciousness, cognition, cranial nerves, sensation, motor function and coordination.

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    16 views1 page

    Full Neuro Exam

    Uploaded by

    rasha
    This document provides an outline for performing a neurological examination, including assessing mental status, cranial nerves, brainstem function, sensation, and motor function. It lists specific tests and observations for orientation, memory, language, pupillary reflexes, eye movements, facial strength and sensation, swallowing, gait, coordination, reflexes, and strength. The examination evaluates various aspects of consciousness, cognition, cranial nerves, sensation, motor function and coordination.

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    © All Rights Reserved
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    of 1

    1. Mental status a.

    Observation for atrophy or asymmetry


    a. LOC b. Tone
    i. Arousable to verbal stimuli i. Rigid = persistently stiff
    ii. Arousable to tactile stimuli ii. Spastic = after speed, becomes stiff
    iii. Arousable to painful stimuli c. Strength
    b. Alertness: Attentive and responsive to surrounding stimuli i. Active/Passive; rating
    c. Oriented: time, place, person 1. 0 none
    d. Cooperativeness: interacts with you 2. 1+ flickering
    e. Attention: serial 7 3. 2+ along surface
    f. Language 4. 3+ against gravity
    i. Comprehension: understands what you say [Wernicke] 5. 4+ against minimal resistance
    ii. Fluency: how many words can they say in a phrase 6. 5+ against resistance
    iii. Coherence: how their words fit together into a meaningful sentence ii. Pronator drift (pronator weakness)
    [Broca] d. DTR
    iv. Repetition: select a sentence for the patient to repeat i. Types
    v. Reading: ask the patient to read a sentence 1. Biceps
    vi. Writing: ask the patient to write a sentence 2. Brachioradialis
    vii. Abstraction: explain the phrase 3. Triceps
    g. Memory 4. Patellar
    i. Short-term: 3 words and repeat after 3 minutes 5. Achilles
    ii. Long-term: tell me about your childhood 6. Babinski
    2. Cranial Nerves ii. Rating
    a. CN 2 1. Normal
    i. Pupillary reflex a. 1+ hyporeflexia
    ii. Visual fields b. 2+ normoreflexia
    b. CN 3,4,6 c. 3+ hyperreflexia
    i. Eye movements - H 2. Abnormal
    c. CN 5 a. 4+ clonus few times
    i. Face sensation V1, V2, V3 b. 5+ clonus sustained
    ii. Masseter muscles (jaw clench) 6. Cerebellum
    iii. Corneal reflex (comatose patient) a. Finger to nose
    d. CN 7 b. Heel to shin
    i. Observe for facial symmetry and droop c. Flipping hands
    ii. Lift eyebrows, shut eyes, blow cheeks, smile d. Rhomberg
    e. CN 8 7. Gait
    i. Vestibulo-ocular reflex (comatose patient) a. Normal gait (see if shuffling, steppage…)
    f. CN 9 and 10 b. Tandem gait
    i. Palate symmetry
    ii. Gag reflex
    iii. Swallowing
    g. CN 11
    i. SCM
    ii. Trapezius
    h. CN 12
    i. Tongue protrusion/deviation
    3. Brainstem
    a. Cardiorespiratory status
    4. Sensation
    a. Light touch
    b. Fine touch/pinprick
    c. Proprioception
    d. Vibration
    e. Temperature
    5. Motor

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