Pocket card Neurologic examination Pocket card Dermatomes and peripheral nerves

Cerebral, cerebellar and sensory functions

C7
CATEGORY FEATURE/ELEMENT

C6
CN V

C5

T1

C8
Observe for vigilance and attention, E4M6V5, orientation for time, place and

C2
General person, no dysphasia or dysarthria, registration and recall 3/3, object identifica-

T2
C4

L2
L1
tion (e.g. pencil or watch), no meningeal irritation.

L5
S2

S1

L5
S3
C3

L4
T12
T10
T11

L3
T5
T6
T7
T8
T9
Isocoric pupils, consensual light reflex. Normal eye movements, no diplopia or nys-

T3
T4

S5
S4
Cranial 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 devi-
ate. Trapezius muscle 5/5, sternocleidomastoid muscle 5/5.

Sensory

N. tibialis, rr. calcanei mediales

Intact tactile sense (sharp/dull discrimination, pain), vibration sense, propriocep-
function tion (joint position). Test for symmetry in upper and lower extremities.

rr. posteriores, rr. cutanei

N. genitofemoralis, r. femoralis Nn. clunium superiores

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

Nn. intercostales, rr. cutanei anteriores

mediales et laterales

N. plantaris medialis
Nn. intercostales, rr. cutanei laterales
pronation. Mingazzini test: leg does not drop. Intact strength and muscle tone of

N. plantaris lateralis
system

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
N. cutaneus brachii medialis et
Nn. spinales,
Biceps reflex, triceps reflex, quadriceps reflex (knee jerk), triceps surae reflex (an-

N. cutaneus femoris posterior

Reflexes

N.cutaneus femoris lateralis

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

N. obturatorius, r. cutaneus
sides of body.

N. ophthalmicus (CN V1)

N. mandibularis (CN V3)

n. intercostobrachialis

N. fibularis communis
N. auricularis magnus

Nn. supraclaviculares
N. maxillaris (CN V2)
Finger-to-nose test (check for symmetry), heel-knee test (check for symmetry),
Coordination

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

N. medianus

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

N. fibularis superficialis
N. axillaris
N. radialis

N. radialis
swing), heel and toe walking.

N. ulnaris

N. suralis

N. fibularis profundus
Routinely assessed muscles
UPPER EXTREMITIES (right/left) LOWER EXTREMITIES (right/left)

a Serratus anterior muscle 5/5 a G

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

T10
T11
T12
T8
T9
Digit flexors 5/5 a Gastrocnemius muscle 5/5

T5
T6
T7
a

C3

L3

L4
T4
T3
Opponens pollicis muscle 5/5 a Fibularis muscles 5/5

S3
a

L5
T1

L2
L1
a Interossei muscles 5/5 a Extensor hallucis longus muscle 5/5

C5 T2
a Flexor hallucis longus muscle 5/5
C2
CN V

C4

T2

T1

S1
C8
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C7
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