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Complete LOC: Alert, somnolent, stuporous, comatose, encephalopathic, delirius, confused, abulic Orientation: name,
Complete
LOC: Alert, somnolent, stuporous, comatose, encephalopathic,
delirius, confused, abulic
Orientation: name, place, and time
Attention: number string
Speech/Language: fluency, comprehension, repitition,
naming, articulation, rate/rhythm, prosody
Memory: immediate/recent/remote, visuospatial, fund of info
insight/judgment, abstract thought (similarity, category list)
II:
Acuity, fields, fundi
III,
IV, VI: pupils, position (strabismus, diplopia), EOM
V:
sensation, corneal reflex, masseters
VII: wrinkle forehead, eyes, smile (UMN spares upper 1/3)
VIII: finger rub, whisper
IX
& X: position and symmetry of palate
XI: turn head, shrug
XII: tongue atrophy, position, strength
Pronator drift
Taps
Appearance: fasciculation, tenderness, bulk
Tone: spastic, rigid, paratonic
Strength: mild, moderate (Ø resistance), severe (Ø gravity)
pyramidal=arm ext, leg flex (UMN); proximal=hip, shoulder
(myopathy); distal=hands, feet (neuropathy)
Biceps, triceps, brachioradialis, patellar, ankle
Pain and light touch (spinothalamic)
Light touch, vibration, joint position (dorsal column
Double simultaneous stimulation