The Five-Minute Neurological Examination
[Pages:33]The Five-Minute Neurological Examination
Ralph F. J?zefowicz, MD
Mental Status
?Cognition ?Language
?Naming
Cranial Nerves
?Visual fields ?Pupils ?Eye movements
?Pursuits and saccades ?Facial symmetry
?Eye blinks ?Lower cranial nerves
Motor Examination
?Adventitial movements ?Pronator drift ?External rotation of leg ?Muscle tone ?Functional strength testing
Sensory Examination
?Focus on patient's symptoms ?Don't over-interpret ?Thoracic sensory level ?Touching nose with eyes closed ?Romberg test
Coordination
?Ataxia ?Cerebellar ?Sensory disorders ?Upper motor neuron lesion
?Truncal stability
Reflexes
?Purely objective ?Asymmetry ?Ankle clonus ?Babinski sign ? don't over-interpret
Gait
?Base ?Stride ?Arm swing ?Turns ?Symmetry
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