List of Tests
Specific tests in a neurological examination include:
Category | Tests | Example of writeup |
---|---|---|
Mental status examination |
|
"A&O x 3, short and long-term memory intact" |
Cranial nerve examination | Cranial nerves (I-XII): sense of smell (I), visual fields and acuity (II), eye movements (III, IV, VI) and pupils (III, sympathetic and parasympathetic), sensory function of face (V), strength of facial (VII) and shoulder girdle muscles (XI), hearing (VII, VIII), taste (VII, IX, X), pharyngeal movement and reflex (IX), tongue movements (XII). These are tested by their individual purposes (e.g. the visual acuity can be tested by a Snellen chart). | "CNII-XII grossly intact" |
Motor system |
|
"strength 5/5 throughout, tone WNL" |
Deep tendon reflexes | Reflexes: masseter, biceps and triceps tendon, knee tendon, ankle jerk and plantar (i.e. Babinski sign). Globally, brisk reflexes suggest an abnormality of the UMN or pyramidal tract, while decreased reflexes suggest abnormality in the anterior horn, LMN, nerve or motor end plate. A reflex hammer is used for this testing. | "2+ symmetric, downgoing plantar reflex" |
Sensation |
Sensory system testing involves provoking sensations of fine touch, pain and temperature. Fine touch can be evaluated with a monofilament test, touching various dermatomes with a nylon monofilament to detect any subjective absence of touch perception.
|
"intact to sharp and dull throughout" |
Cerebellum |
|
"intact finger-to-nose, gait WNL" |
Read more about this topic: Neurological Examination
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