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Neurologic Exam
Aka: Neurologic Exam
- See Also
- Neurologic Lesion Localization
- Cognitive Function Testing
- Cerebellar Function Test
- Memory Evaluation
- NIH Stroke Scale
- Mental Status Exam
- Exam: Highest yield tests
- Cranial Nerve tests
- Visual Field testing with double stimulation upper fields and lower fields
- Extraocular Movements
- Motor Strength
- Upper extremity
- Grip strength
- Proximal Muscle Strength
- Lower extremity
- Heel Walk and Toe Walk
- Stand from chair without pushing off
- See Get Up and Go Test
- Balance and coordination
- Romberg Test
- Tandem Walking
- Exam: General
- See Appearance, Behavior and Attitude Exam
- Personal Appearance
- Well groomed or unkempt
- Eye contact
- Good, fleeting, sporadic or avoidant
- Observable Behavior
- Cooperative, candid, withdrawn, guarded, hostile or irritable
- Exam: Eye
- See Eye Neurologic Exam
- See Extraocular Movement
- See Pupil and Pupil Constriction
- See Visual Acuity
- See Visual Field
- Abnormal Findings
- Acute Vision Loss or Visual Field Deficit
- Pupil Abnormalities (Anisocoria, Mydriasis, Miosis)
- Eye Deviation
- Nystagmus
- Internuclear Ophthalmoplegia
- Altered Conjugate Gaze
- Exam: Face
- See Cranial Nerve Exam
- Palpebral fissures equal
- Facial symmetry (smile, puff cheeks)
- Eyelid opening and closing against resistance
- Jaw symmetric
- Abnormal Findings
- Eyelid Ptosis (CN 3) or incomplete closure (peripheral CN 7)
- Facial Nerve Palsy (forehead involved in peripheral CN 7)
- Exam: Oropharynx
- Uvula rises to phonation (CN 9, CN 10)
- Gag Reflex
- Swallow reflex
- Regurgitation (nasal or liquid)
- Tongue midline with no Tongue fasciculations (CN12)
- Exam: Larynx and Language
- Voice quality
- See Hoarseness
- Speech Exam
- Dysarthria (explosive or nasal)
- Aphasia (Inability to communicate via speech, writing, reading)
- Exam: Sensory Exam
- See Sensory Exam (includes Dermatome)
- Two Point Discrimination
- Sharp and dull discrimination
- Proprioception (finger up or down?)
- Stereography
- Exam: Motor Exam
- See Motor Exam
- Motor Strength
- Tone (flaccid, rigid, or cogwheel)
- Atrophy
- Fasciculations
- Muscle tenderness
- Tremor
- Exam: Reflexes
- See Deep Tendon Reflexes
- Primitive Reflexes
- Babinski Reflex
- Grasp Reflex
- Suck Reflex
- Glabellar Reflex
- Hoffman Reflex
- Exam: Cerebellar
- Finger-Nose-Finger
- Dysmetria
- Overshooting target
- Intention Tremor
- Rapid Alternating Movements
- Heel-Knee-Shin
- Romberg Test
- Vestibular Exam
- Gait
- See Gait and Stance Exam
- Walking on base of foot
- Tandem Walking
- Overall coordination
- Exam: Mental Status
- Appearance, Behavior and Attitude Exam
- Attention and Concentration
- Higher Integrative Function (Executive Function, Intellectual Function)
- Thought Process ( Thought Content, Thought Form, Delusion, Obsession, Abstract Thought)
- Speech Exam
- Affect Examination
- Insight and Judgement
- Memory Evaluation
- Orientation Exam
- Perception Exam ( Misperception, Illusion, Hallucination)