Neurology Book

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Neurologic Exam

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  1. Eye Exam
    1. See Eye Neurologic Exam
  2. Face Exam
    1. See Cranial Nerve Exam
    2. Palpebral fissures equal
    3. Facial symmetry
    4. Tongue midline with no fasciculations
    5. Jaw symmetric
  3. Oropharynx Exam
    1. Gag Reflex
    2. Swallow reflex
    3. Regurgitation (nasal or liquid)
  4. Larynx and Language
    1. Voice quality
    2. Speech Exam
    3. Dysarthria (explosive or nasal)
    4. Aphasia (writing)
  5. Sensory
    1. Two Point Discrimination
    2. Sharp and dull discrimination
    3. Proprioception (finger up or down?)
    4. Stereography
  6. Motor Exam
    1. Motor Strength
    2. Tone (flaccid, rigid, or cogwheel)
    3. Atrophy
    4. Fasciculations
    5. Muscle tenderness
    6. Tremor
  7. Reflexes
    1. Deep Tendon Reflexes
    2. Primitive Reflexes
      1. Babinski Reflex
      2. Grasp Reflex
      3. Suck Reflex
      4. Glabellar Reflex
      5. Hoffman Reflex
  8. Cerebellar
    1. Finger-Nose-Finger
      1. Dysmetria
      2. Overshooting target
      3. Intention Tremor
    2. Alternating hand movements
    3. Heel-knee-shin
    4. Romberg Test
    5. Gait
      1. Walking on base of foot
      2. Tandem walking
      3. Overall coordination
    6. Vestibular Exam

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