Neurologic exam: Difference between revisions

Revision as of 20:42, 2 February 2015

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 w/o 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
Reflex Clonus (+4)
- Cross adductor (+3)
- Hoffman's sign
- DTRs
- Babinski
Gait
- Wide-based, sway
- Heel & toe
- Tandem

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 ==Exam==
-#MS A&O vs. MMSE
+*Mental status
-##Dysarthria (mech) vs. Aphasia
+**A&O vs. MMSE
-#[[CNs II-XII]]
+**Dysarthria (mech) vs. Aphasia
-#[[Weakness|Motor Tone]] (hyper/hypo)
+*[[Cranial nerves]]
-##[[Weakness|Strength]] (0-none; 1-trace contraction; 2-moves w/o gravity; 3-moves against gravity; 4-moves against some resistance; 5-full)
+**[[CNs II-XII]]
-##Atrophy
+*[[Weakness|Motor Tone]] (hyper/hypo)
-##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)
+**[[Weakness|Strength]] (0-none; 1-trace contraction; 2-moves w/o gravity; 3-moves against gravity; 4-moves against some resistance; 5-full)
-#Cerebel Finger-to-nose (dysmetira)
+**Atrophy
-##Rapid alternating (dysdidokinesis)
+**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)
-##Heel-to-shin
+*[[Sensory exam]]
-##Pronator drift
+**Dorsal comumns (vibratory/proprio)
-#Reflex Clonus (+4)
+**Spinothalamic (PP/LT)
-##Cross adductor (+3)
+**Romberg
-##Hoffman's sign
+*Cerebellar exam
-##DTRs
+**Finger-to-nose (dysmetira)
-##Babinski
+**Rapid alternating (dysdidokinesis)
-#[[Sensory exam]]
+**Heel-to-shin
-## Dorsal comumns (vibratory/proprio)
+**Pronator drift
-##Spinothalamic (PP/LT)
+*Reflex Clonus (+4)
-##Romberg
+**Cross adductor (+3)
-#Gait Wide-based, sway
+**Hoffman's sign
-##Heel & toe
+**DTRs
-##Tandem
+**Babinski
+*Gait
+**Wide-based, sway
+**Heel & toe
+**Tandem
 ==See Also==