Neuro Physical Exam Checklist
Neuro Physical Exam Checklist
General Items
- Document findings thoroughly
- Review and summarize key findings with patient
Patient Preparation
- Ensure patient consent is obtained
- Gather necessary equipment (reflex hammer, tuning fork, etc.)
- Ensure a quiet and comfortable exam environment
Mental Status Examination
- Assess orientation (person, place, time)
- Evaluate attention and concentration (e.g., digit span test)
- Check language abilities (naming, repetition, comprehension)
- Test memory (immediate and delayed recall)
- Assess reasoning and judgment (e.g., hypothetical scenarios)
Cranial Nerve Assessment
- Cranial Nerve I: Test sense of smell
- Cranial Nerve II: Assess visual acuity and visual fields
- Cranial Nerve III, IV, VI: Test extraocular movements and pupillary response
- Cranial Nerve V: Assess facial sensation and strength of mastication
- Cranial Nerve VII: Evaluate facial symmetry and movement
- Cranial Nerve VIII: Test hearing (whisper test, Rinne, and Weber tests)
- Cranial Nerve IX and X: Check gag reflex and uvula movement
- Cranial Nerve XI: Assess shoulder shrug and head turn strength
- Cranial Nerve XII: Evaluate tongue movement and strength
Motor System Examination
- Inspect muscle bulk and tone
- Test muscle strength in major muscle groups (0-5 scale)
- Assess coordination (finger-to-nose, heel-to-shin tests)
Sensory System Examination
- Test light touch and pain sensation in all extremities
- Assess proprioception and vibration sense
- Evaluate discriminatory sensations (stereognosis, graphesthesia)
Reflex Examination
- Test deep tendon reflexes (biceps, triceps, patellar, Achilles)
- Assess superficial reflexes (abdominal, plantar)
Gait and Balance Evaluation
- Observe patient's gait (normal, tandem, heel-to-toe)
- Assess balance (Romberg test, single-leg stance)
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