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Neurology Student Education Director
Maike Blaya, M.D.
131 S. Robertson St.
Suite 1340, Room 1369
Office: 504-988-3888
Fax: 504-988-9197
Email: mblaya1@tulane.edu

Program Coordinator
Zenobia Colón
131 S. Robertson St.
Suite 1340, Room 1345
Office: 504-988-3888
Fax: 504-988-9197
Email: zcolon@tulane.edu

 

Neurology Clerkship
Neurology > Programs > > Adult Neurological Evaluation

 

Nuero Exam & Assessment

Download printable version (requires Adobe Acrobat Reader)

 

Jeffrey S. Nicholl, M.D.

  1. Age, gender, handedness.
  2. Chief Complaint.
  3. HPI: Duration, description, severity, location, onset, precipitating or exacerbating factors, ameliorating factors, associated symptoms, new or recurrent, risk factors.
  4. PMH (with specific emphasis on the past neurologic history)
  5. Medications, current and past.
  6. Allergies
  7. PSH
  8. PPsyH
  9. Family History
  10. Social History
  11. Review of Systems (with an emphasis on the neurologic review of systems: headache, dizziness, decreased visual or auditory acuity, diplopia, dysphasia, dysarthria, dysphagia, nausea/vomiting, focal numbness or weakness, bladder or bowel problems (retention or incontinence), ataxia.)
  12. Mental Status Examination: Level of consciousness and orientation, Memory (3 or 5 words at five minutes, long-term memory), Concentration (digit span, serial 7’s, spell world backwards), Language (fluency, comprehension, repetition), Praxis (demonstrate an action), Visual-spatial construction (copy or clock face).
  13. Cranial Nerves: I- smell; II- visual acuity, visual fields, fundoscopic examination, light reflex; III, IV, VI- extraocular movements in all six cardinal positions, light reflex; V- facial sensation, strength of masticatory muscles, jaw jerk; VII- facial movement (upper and lower), taste on the anterior 2/3 of the tongue; VIII- auditory acuity, nystagmus; IX, X- gag reflex, palatal movement, deviation of uvula, hoarseness; XI- strength of the SCM and trapezius muscles; XII- tongue deviation, atrophy, fasiculations.
  14. Motor: pronator drift, weakness, tremor, fasicualtion, atrophy, abnormal tone, abnormal involuntary movements, DTR’s, plantar responses.
  15. Sensory: light touch, temperature/pinprick, vibration/proprioception, graphesthesia/stereognosis/double simultaneous stimulation, two-point discrimination.
  16. Cerebellar: finger-to-nose, heel-to-shin.
  17. Stance: eyes open, eyes closed.
  18. Gait: heel-walking, toe-walking, tandem gait.
  19. General: VS, neck, heart.

 

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