How do I document a regular neurological exam?
Documentation of a basic, normal neuro exam should look something along the lines of the following: The patient is alert and oriented to person, place, and time with normal speech. No motor deficits are noted, with muscle strength 5/5 bilaterally. Sensation is intact bilaterally.Muh. 5, 1438 AH
What should a neurological assessment include?
A thorough neurologic assessment will include assessing mental status, cranial nerves, motor and sensory function, pupillary response, reflexes, the cerebellum, and vital signs.
What is the finger to nose test?
Description. The Finger-to-Nose-Test measures smooth, coordinated upper-extremity movement by having the examinee touch the tip of his or her nose with his or her index finger. On one variation of the test, the examiner holds out his or her finger, about an arm’s length from the patient.
What are the 5 P’s of neurovascular assessment?
This article discusses the process for monitoring a client’s neurovascular status. Assessment of neurovascular status is monitoring the 5 P’s: pain, pallor, pulse, paresthesia, and paralysis. A brief description of compartment syndrome is presented to emphasize the importance of neurovascular assessments.
Why does a neurologist look at your tongue?
Hypoglossal nerve This nerve controls the movement of the tongue. To test it we have the person stick out their tongue and look to see if it is in the middle. We also look to see if there are any signs of muscle weakness in the tongue. Most people love the opportunity to stick their tongue out at their doctor!
What is past pointing test?
: a test for defective functioning of the vestibular nerve in which a subject is asked to point at an object with eyes open and then closed first after rotation in a chair to the right and then to the left and which indicates an abnormality if the subject does not past-point in the direction of rotation.
What are the symptoms of a neurology exam?
Fast finger tapping with normal amplitude and speed. Gait: Narrow based with normal stride length and good arm swing bilaterally. Able to walk on heels, toes, and in tandem. Mental status: The patient is alert, attentive, and oriented. Speech: clear and fluent with good repetition, comprehension, and naming.
What is the normal posture for a CNS patient?
Posture is normal. Gait is steady with normal steps, base, arm swing, and turning. Heel and toe walking are normal. Tandem gait is normal when the patient closes one of her eyes. CN: Pupils b/l equal and reactive, EOMI, VF seem intact, face symmetrical, facial sensation intact b/l, head turn seems normal.
What should the results of a fundoscopic exam be?
Fundoscopic exam is normal with sharp discs. Pupils are 4 mm and briskly reactive to light. Visual acuity is 20/20 bilaterally. CN V: Facial sensation is intact to pinprick in all 3 divisions bilaterally. CN VII: Face is symmetric with normal eye closure and smile.