• Set Yourself Up For Success Webinar

    October 6, 2021 at 2 PM Eastern/11 AM Pacific
    SDN and Osmosis are teaming up to help you get set up for success this school year! We'll be covering study tips, healthy habits, and meeting mentors.

    Register Now!

  • Funniest Story on the Job Contest Starts Now!

    Contest starts now and ends September 27th. Winner will receive a special user banner and $10 Amazon Gift card!

    JOIN NOW
  • Site Updates Coming Next Week

    Site updates are coming next week on Monday, Wednesday, and Friday. Click the button below to learn more!

    LEARN MORE

Neuro exam template

typhoonegator

Neurointensivist
Moderator Emeritus
10+ Year Member
Dec 22, 2006
1,868
885
366
Boston
  1. Attending Physician
Here's a basic emergency room screening neuro exam that many of our juniors use at my program. Don't flame me for leaving stuff out -- it's just a template. You should tailor it to the patient you're seeing (i.e. dementia exam with a longer mental status evaluation)

MS: AA&Ox3, appropriately interactive, normal affect
Attention: WORLD backwards, MOY backwards, digit span 4 forwards, 3 back
Speech: fluent w/o paraphasic error, repetition, naming, reading, writing intact
Memory: x/3 at 5 minutes, x/3 with prompting
Calculations: 9 quarters = $2.25
L/R confusion: No L/R confusion
Praxis: Able to mimic brushing teeth and blowing out match with either hand.
CN: I--not tested; II,III--PERRLA, VFF by confrontation, optic discs sharp; III,IV,VI—EOMI w/o nystagmus, no ptosis; V--sensation intact to LT, masseters strong symmetrically; VII--face symmetric without weakness; VIII—hearing grossly intact; IX,X--voice normal, palate elevates symmetrically, gag intact; XI--SCM/trapezii 5/5; XII--tongue protrudes midline, no atrophy or fasciculation.
Motor: normal bulk and tone, no tremor, rigidity or bradykinesia, no pronator drift. No orbital movement.
Strength:

|Delt|Bic|Tri |WE|FiE |FgSp | IP |Quad|Ham |TibA|EHL |Gast|
| C5|C6 | C7| C6| C7 |C8/T1|L1-2|L3-4|L5/S1| L4 | L5 | S1 |
L | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 |
R | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 |

Coord: rapid alternating and point-to-point (FNF, HTS, TTF) movements intact.
Refl:
| Bi |Bra | Tri | Pat |Ank |Toe |
|C5-6| C6 | C7 |L2-4| S1 |
L | 2 | 2 | 2 | 2 | 2 | dn |
R | 2 | 2 | 2 | 2 | 2 | dn |

Sens: LT, PP, temperature, vibration and joint position intact. No evidence of extinction to DSS.
Gait: posture, stance, stride and arm-swing normal. Tandem gait intact. Able to walk on heels and toes. Romberg absent.
 
About the Ads
This thread is more than 13 years old.

Your message may be considered spam for the following reasons:

  1. Your new thread title is very short, and likely is unhelpful.
  2. Your reply is very short and likely does not add anything to the thread.
  3. Your reply is very long and likely does not add anything to the thread.
  4. It is very likely that it does not need any further discussion and thus bumping it serves no purpose.
  5. Your message is mostly quotes or spoilers.
  6. Your reply has occurred very quickly after a previous reply and likely does not add anything to the thread.
  7. This thread is locked.