Neurologic Examination



Neurologic Examination





1. Mental status





























Orientation


Time, person, and place


Attention/concentration


Serial 7s


Spelling “world” backward


Memory


Remote and recent memory


New learning ability with three objects


Mood


“How are you feeling?”


Insight/judgment


“Why are you in the hospital?”


Speech/language


Rate, articulation, fluency, naming, word comprehension, repetition, writing, and reading


Higher cognitive functions


Calculations, abstract thinking, and drawing a clock


2. Cranial nerves




























































No.


Cranial nerve


Function


I


Olfactory


Sense of smell


II


Optic


Vision


III


Oculomotor


Pupillary constriction, opening the eye, and most extraocular movements


IV


Trochlear


Downward, inward movement of the eye


V


Trigeminal


Motor – temporal and masseter muscles (jaw clenching); also lateral movement of the jaw Sensory – facial. The nerve has three divisions: (1) ophthalmic, (2) maxillary, and (3) mandibular


VI


Abducens


Lateral deviation of the eye


VII


Facial


Motor – facial movements, including those of facial expression, closing the eye, and closing the mouth


Sensory – taste for salty, sweet, sour, and bitter substances on the anterior two-thirds of the tongue


VIII


Acoustic


Hearing (cochlear division) and balance (vestibular division)


IX


Glossopharyngeal


Motor – pharynx


Sensory – posterior portions of the eardrum and ear canal, the pharynx, and the posterior tongue, including taste (salty, sweet, sour, and bitter)


X


Vagus


Motor – palate, pharynx, and larynx


Sensory – pharynx and larynx


XI


Spinal accessory


Motor – the sternocleidomastoid and upper portion of the trapezius


XII


Hypoglossal


Motor – tongue

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Jun 19, 2016 | Posted by in PHYSICAL MEDICINE & REHABILITATION | Comments Off on Neurologic Examination

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