Neurologic exam

Exam

  • Mental status
    • A&O vs. MMSE
    • Dysarthria (mech) vs. Aphasia
  • Cranial nerves
  • 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

See Also