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Neurological Exam
History
- Age
- Occupation
- Presenting symptoms
- HPC
- PMH
- Drugs
- Alcohol
- Smoking
- Systemic enquiry
- Social history - drugs, marital, job, house, travel
Examination
- Systems - general, skin / nodes, CVS, RS, abdomen, GUS, CNS
- Top down
- Mood / conscious level
- Cognitive function – attention, memory, language, calculation, spatial /
constructional
- I – olfactory
- II – acuity, fields, colour, afferent pupillary, fundoscopy
- III, IV, VI – eye movements
- V – touching face, corneal reflex (afferent + VII), jaw muscles / jerk
- VII – facial muscles, taste (anterior 2/3 tongue)
- VIII – hearing and balance, Unterberger test
- IX, X – gag reflex, speech and swallowing, palate movements
- XI – sternomastoid
- XII – sticking tongue out
Limbs
- Inspection – posture, abnormal movements, muscle bulk, fasciculation
- Tone
- Power
- Co-ordination
- Reflexes
- Sensation – joint position, vibration, touch, pain, temp
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