Neurologic exam

1. MS A&O vs. MMSE
   1. Dysarthria (mech) vs. Aphasia
2. CNs II-XII
3. Motor Tone (hyper/hypo)
   1. Strength (0-none; 1-trace contraction; 2-moves w/o gravity; 3-moves against gravity; 4-moves against some resistance; 5-full)
   2. Atrophy
   3. 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)
4. Cerebel Finger-to-nose (dysmetira)
   1. Rapid alternating (dysdidokinesis)
   2. Heel-to-shin
   3. Pronator drift
5. Reflex Clonus (+4)
   1. Cross adductor (+3)
   2. Hoffman's sign
   3. DTRs
   4. Babinski
6. Sens Dorsal comumns (vibratory/proprio)
   1. Spinothalamic (PP/LT)
   2. Romberg
7. Gait Wide-based, sway
   1. Heel & toe
   2. Tandem

See Also

• NIH Stroke Scale