Neurologic exam

Exam

• Mental status
  • A&O vs. MMSE
  • Dysarthria (mech) vs. Aphasia
• Cranial nerves
  • CNs II-XII
• Motor Tone (hyper/hypo)
  • Strength (0-none; 1-trace contraction; 2-moves with out gravity; 3-moves against gravity; 4-moves against some resistance; 5-full)
  • Atrophy
  • Delts (C5), wrists (C6-8), biceps (C5-6), triceps (C6-8), iliopsoa (L1-2), quads (L3-4), hamstrings (S1), TA (L4), G/S (S1-2)
• Sensory exam
  • Dorsal comumns (vibratory/proprio)
  • Spinothalamic (PP/LT)
  • Romberg
• Cerebellar exam
  • Finger-to-nose (dysmetira)
  • Rapid alternating (dysdidokinesis)
  • Heel-to-shin
  • Pronator drift
• Reflexes
• Gait
  • Wide-based, sway
  • Heel & toe
  • Tandem

See Also

• Weakness
• Sensory exam
• Pediatric developmental milestones
• Visual field defects
• Focal neurologic deficits
• Upper extremity peripheral innervation

Authors

Ross Donaldson, Daniel Ostermayer