Neurology
Loading Add to Favorites
Share
Tweet
Cite
Constitutional
Measurement of any three of the following seven vital signs: 1) sitting or standing blood pressure, 2) supine blood pressure, 3) pulse rate and regularity, 4) respiration, 5) temperature, 6) height, 7) weight (May be measured and recorded by ancillary staff)
General appearance of patient (eg, development, nutrition, body habitus, deformities, attention to grooming)[textarea name="field_name" default="sample text"]
Eyes
Ophthalmoscopic examination of optic discs (eg, size, C/D ratio, appearance) and posterior segments (eg, vessel changes, exudates, hemorrhages)[textarea name="field_name" default="sample text"]
Cardiovascular
Examination of carotid arteries (eg, pulse amplitude, bruits)
Auscultation of heart with notation of abnormal sounds and murmurs
Examination of peripheral vascular system by observation (eg, swelling, varicosities) and palpation (eg, pulses, temperature, edema, tenderness)[textarea name="field_name" default="sample text"]
Muscular
Examination of gait and station
Assessment of motor function including:
Muscle strength in upper and lower extremities
Muscle tone in upper and lower extremities (eg, flaccid, cog wheel, spastic) with notation of any atrophy or abnormal movements (eg, fasciculation, tardive dyskinesia)[textarea name="field_name" default="sample text"]
Neurological
Evaluation of higher integrative functions including: Orientation to time, place and person Recent and remote memory
Attention span and concentration
Language (eg, naming objects, repeating phrases, spontaneous speech) Fund of knowledge (eg, awareness of current events, past history, vocabulary)
Test the following cranial nerves:
2nd cranial nerve (eg, visual acuity, visual fields, fundi)
3rd, 4th and 6th cranial nerves (eg, pupils, eye movements)
5th cranial nerve (eg, facial sensation, corneal reflexes)
7th cranial nerve (eg, facial symmetry, strength)
8th cranial nerve (eg, hearing with tuning fork, whispered voice and/or finger rub)
9th cranial nerve (eg, spontaneous or reflex palate movement) 11th cranial nerve (eg, shoulder shrug strength)
12th cranial nerve (eg, tongue protrusion)
Examination of sensation (eg, by touch, pin, vibration, proprioception)
Examination of deep tendon reflexes in upper and lower extremities with notation of pathological reflexes (eg, Babinski)
Test coordination (eg, finger/nose, heel/knee/shin, rapid alternating movements in the upper and lower extremities, evaluation of fine motor coordination in young children)[textarea name="field_name" default="sample text"]
Constitutional
Measurement of any three of the following seven vital signs: 1) sitting or standing blood pressure, 2) supine blood pressure, 3) pulse rate and regularity, 4) respiration, 5) temperature, 6) height, 7) weight (May be measured and recorded by ancillary staff)
General appearance of patient (eg, development, nutrition, body habitus, deformities, attention to grooming)
Eyes
Ophthalmoscopic examination of optic discs (eg, size, C/D ratio, appearance) and posterior segments (eg, vessel changes, exudates, hemorrhages)
Cardiovascular
Examination of carotid arteries (eg, pulse amplitude, bruits)
Auscultation of heart with notation of abnormal sounds and murmurs
Examination of peripheral vascular system by observation (eg, swelling, varicosities) and palpation (eg, pulses, temperature, edema, tenderness)
Muscular
Examination of gait and station
Assessment of motor function including:
Muscle strength in upper and lower extremities
Muscle tone in upper and lower extremities (eg, flaccid, cog wheel, spastic) with notation of any atrophy or abnormal movements (eg, fasciculation, tardive dyskinesia)
Neurological
Evaluation of higher integrative functions including: Orientation to time, place and person Recent and remote memory
Attention span and concentration
Language (eg, naming objects, repeating phrases, spontaneous speech) Fund of knowledge (eg, awareness of current events, past history, vocabulary)
Test the following cranial nerves:
2nd cranial nerve (eg, visual acuity, visual fields, fundi)
3rd, 4th and 6th cranial nerves (eg, pupils, eye movements)
5th cranial nerve (eg, facial sensation, corneal reflexes)
7th cranial nerve (eg, facial symmetry, strength)
8th cranial nerve (eg, hearing with tuning fork, whispered voice and/or finger rub)
9th cranial nerve (eg, spontaneous or reflex palate movement) 11th cranial nerve (eg, shoulder shrug strength)
12th cranial nerve (eg, tongue protrusion)
Examination of sensation (eg, by touch, pin, vibration, proprioception)
Examination of deep tendon reflexes in upper and lower extremities with notation of pathological reflexes (eg, Babinski)
Test coordination (eg, finger/nose, heel/knee/shin, rapid alternating movements in the upper and lower extremities, evaluation of fine motor coordination in young children)
Result - Copy and paste this output: