Pocket card Neurologic examination Pocket card Dermatomes and peripheral nerves

Cerebral, cerebellar and sensory functions

C7
Category Feature/Element

C6
Observe for vigilance and attention, E4M6V5, orientation for time, place and

CN V

C5

T1

C8
General person, no dysphasia or dysarthria, registration and recall 3/3, object identification

C2

T2
(e.g. pencil or watch), no meningeal irritation.

C4

L2
L1

L5
S2

S1

L5
S3
Isocoric pupils, consensual light reflex. Normal eye movements, no diplopia or nys-

C3

L4
T12
T10
T11

L3
Cranial

T5
T6
T7
T8
T9
T3
T4

S5
S4
tagmus. Intact visual field. No ptosis, no strabismus. Normal facial sensation and
nerves facial muscle function. Palate, uvula and tongue are symmetrical and do not deviate.
Trapezius muscle 5/5, sternocleidomastoid muscle 5/5.

Sensory Intact tactile sense (sharp/dull discrimination, pain), vibration sense, propriocep-

N. tibialis, rr. calcanei mediales

function tion (joint position). Test for symmetry in upper and lower extremities.

rr. posteriores, rr. cutanei

Motor No atrophy, paresis, tremor or fasciculations. Pronator drift test (Barre’s sign): no

N. genitofemoralis, r. femoralis Nn. clunium superiores

Nn. intercostales, rr. cutanei anteriores
mediales et laterales
pronation. Mingazzini test: leg does not drop. Intact strength and muscle tone of
system

N. plantaris medialis
Nn. intercostales, rr. cutanei laterales

N. plantaris lateralis
N. genitofemoralis, r. genitalis Nn. clunium medii
upper and lower extremities, tested separately (see table below).

N. femoralis, rr. cutanei anteriores

Nn. cutaneus antebrachii medialis
N. cutaneus antebrachii lateralis
Biceps reflex, triceps reflex, quadriceps reflex (knee jerk), triceps surae reflex (ankle

N. cutaneus brachii medialis et

Nn. spinales,
Reflexes

N. cutaneus femoris posterior

jerk), plantar reflex, abdominal reflexes. Directly compare elicitation on both

N.cutaneus femoris lateralis

N. obturatorius, r. cutaneus
sides of body.

N. ophthalmicus (CN V1)

N. mandibularis (CN V3)

n. intercostobrachialis
Finger-to-nose test (check for symmetry), heel-knee test (check for symmetry),
Coordination

N. fibularis communis
N. auricularis magnus

Nn. supraclaviculares
N. maxillaris (CN V2)

N. iliohypogastricus
tightrope or tandem walking. Test for dysdiadochokinesia.

N. transversus colli
Observation for casual gait (no unsteadiness, no broad-based gait, natural arm
Gait

N. medianus

N. saphenus
swing), heel and toe walking.

N. fibularis superficialis
N. axillaris
N. radialis

N. radialis

N. ulnaris

N. suralis

N. fibularis profundus
Routinely assessed muscles
Upper extremities (right/left) Lower extremities (right/left)

aa Serratus anterior muscle 5/5 aa G

 luteus medius and minimus muscles (both laying
aa Deltoid muscle 5/5 down and standing up)
aa Biceps brachii muscle 5/5 aa Iliopsoas muscle 5/5
aa Triceps brachii muscle 5/5 aa Quadriceps femoris muscle 5/5
aa Wrist extensors 5/5 aa Adductor muscles of hip 5/5
aa Wrist flexors 5/5 aa Hamstrings 5/5
aa Digit extensors 5/5 aa Tibialis anterior muscle 5/5
aa Digit flexors 5/5 aa Gastrocnemius muscle 5/5

T10
T11
T12
T8
T9
aa Opponens pollicis muscle 5/5 aa Fibularis muscles 5/5

T5
T6
T7
C3

L3

L4
T4
T3
aa Interossei muscles 5/5 aa Extensor hallucis longus muscle 5/5

S3

L5
T1

L2
L1
aa Flexor hallucis longus muscle 5/5

T2
C2
CN V

C4

T2

T1

S1
C8
C5
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for any injury and/or damage to persons and property, as a

C7
C6
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