Neurologic exam

MS A&O vs. MMSE

    Dysarthria (mech) vs. Aphasia

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)

Cerebel Finger-to-nose (dysmetira)

    Rapid alternating (dysdidokinesis)

    Heel-to-shin

    Pronator drift

Reflex Clonus (+4)

    Cross adductor (+3)

    Hoffman's sign

    DTRs

    Babinski

Sens Dorsal comumns (vibratory/proprio)

    Spinothalamic (PP/LT)

    Romberg

Gait Wide-based, sway

    Heel & toe

    Tandem

2/26/06 DONALDSON