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Neurological Exam
Mar 31, 2010
•
Mark Morgan
categories:
Neurology
Objective/Exam
NEUROLOGICAL:
Gait:
steady coordinated gait
abnormal
an unsteady uncoordinated gait
a slow unsteady gait
walks on heels and toes with out problems
has difficulty with walking
Rhomberg:
negative
postive
Rapid alternating movements:
normal
abnormal
Cranial nerves:
II-XII intact
abnormal
cranial nerves II-XII intact.
Sensation:
intact and symmetric at upper and lower extremities bilaterally
abnormal
Strength:
intact and symmetric at upper and lower extremities bilaterally
abnormal
Reflexes:
Right Biceps
Right Biceps:
2+ (normal).
0 (absent).
1+ (hypoactive).
2+ (normal).
3+ (hyperactive without clonus).
4+ (hyperactive with clonus).
Left Biceps
Left Biceps:
2+ (normal).
0 (absent).
1+ (hypoactive).
2+ (normal).
3+ (hyperactive without clonus).
4+ (hyperactive with clonus).
Right Triceps
Right Triceps:
2+ (normal).
0 (absent).
1+ (hypoactive).
2+ (normal).
3+ (hyperactive without clonus).
4+ (hyperactive with clonus).
Left Triceps
Left Triceps:
2+ (normal).
0 (absent).
1+ (hypoactive).
2+ (normal).
3+ (hyperactive without clonus).
4+ (hyperactive with clonus).
Right Forearm
Right Forearm:
2+ (normal).
0 (absent).
1+ (hypoactive).
2+ (normal).
3+ (hyperactive without clonus).
4+ (hyperactive with clonus).
Left Forearm
Left Forearm:
2+ (normal).
0 (absent).
1+ (hypoactive).
2+ (normal).
3+ (hyperactive without clonus).
4+ (hyperactive with clonus).
Right Patella
Right Patella:
2+ (normal).
0 (absent).
1+ (hypoactive).
2+ (normal).
3+ (hyperactive without clonus).
4+ (hyperactive with clonus).
Left Patella
Left Patella:
2+ (normal).
0 (absent).
1+ (hypoactive).
2+ (normal).
3+ (hyperactive without clonus).
4+ (hyperactive with clonus).
Right Ankle
Right Ankle:
2+ (normal).
0 (absent).
1+ (hypoactive).
2+ (normal).
3+ (hyperactive without clonus).
4+ (hyperactive with clonus).
Left Ankle
Left Ankle:
2+ (normal).
0 (absent).
1+ (hypoactive).
2+ (normal).
3+ (hyperactive without clonus).
4+ (hyperactive with clonus).
Babinski:
negative
postive
The following other neurologic findings were found:
none
speech input
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