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