Neurologic Exam - University of California, San Diego
嚜燒eurologic Exam
Charlie Goldberg, M.D.
Professor of Medicine, UCSD SOM
POM 每 February 19, 2020
cggoldberg@health.ucsd.edu
Elements of The Neuro Exam
? Cranial Nerves
? Motor 每 bulk, tone, strength
? Coordination 每 fine movements, balance
? Sensation 每 pain, touch, position sense, vibration
? Reflexes
? Gait
CN 1- Olfactory
? Check air movement thru ea nostril separately 每 push gently on
outside of nostril, occluding it.
Then ask patient to inhale/exhale thru other, assuring it*s
unobstructed.
? Screen for problems w/sense using coffee (or other substance
w/strong odor)
? Ask patient to close eyes & identify the odor as you bring the
substance close to the nostrils
? Odor normally detectable @ distance of ~10cm
CN 1- Olfactory:
Sense of Smell
? Check air movement thru ea nostril
separately.
? Smell not usually assessed (unless sx)
? use coffee grounds or other
w/distinctive odor
(e.g. mint, wintergreen, etc)
- check ea nostril independently
- detect odor when presented @
10cm.
Hmmm..
Coffee!
Cranial Nerve 2 (Optic):
Functional Assessment 每 Acuity
? Using hand held card (held @ 14
inches) or Snellen wall chart,
assess each eye separately. Allow
patient to wear glasses.
? Direct patient to read aloud line
w/smallest lettering that they*re
able to see.
Hand Held Acuity Card
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