NeuroLogic Examination Videos and Descriptions: An Anatomical Approach
NeuroLogic Examination Videos and Descriptions...
an Anatomical Approach
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Neuroanatomy Video Lab: Brain Dissections
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Go to IntroductionINTRODUCTION TO THE NEUROLOGIC EXAM VIDEOS AND DESCRIPTIONS

MENTAL STATUS EXAM
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CRANIAL NERVE EXAM

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COORDINATION EXAM
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SENSORY EXAM
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MOTOR EXAM
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GAIT EXAM
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ADDITIONAL RESOURCES
Go to the Pediatric Neurologic Exam websitePediatric Neurologic Exam Website
Go to the Brain Dissection Video LabVideo Lab: Brain Dissections
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Go to Lumbar Puncture TutorialLumbar Puncture Tutorial:
The Procedure and CSF Analysis

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Coordination > Normal

SECTIONS
Speech Rapid Alternating Movement video
Tremor video
Rebound video
Check Reflex video
Hand Rapid Alternating Movement video
Finger-to-nose video
Foot Rapid Alternating Movement video
Toe-to-finger video
Heel-to-shin video
Station video
Natural Gait video
Tandem Gait video

COMPARISON OF NORMAL versus ABNORMAL EXAM FINDINGS videos
 

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Speech Rapid Alternating Movements
Having the patient say lah-pah-kah can test rapid alternating movements of the tongue, lips, and palate.


Tremor
Patient's arms are held outstretched and fingers extended. Watch for postural or essential tremor.


Rebound
Tap outstretched arms. Patient's arms should recoil to original position.


Check Reflex
Examiner pulls on actively flexed arm then suddenly releases. The patient should be able to check or stop the arm's movement when released.


Hand Rapid Alternating Movements
Finger tapping, wrist rotation and front-to-back hand patting. Watch for the rapidity and rhythmical performance of the movements noting any right-left disparity.


Finger-to-nose
The patient moves her pointer finger from her nose to the examiner's finger as the examiner moves his finger to new positions and tests accuracy at the furtherest outreach of the arm.


Foot Rapid Alternating Movements
Patient taps her foot on the examiner's hand or on the floor.


Toe-to-finger
The patient touches her toe to the examiner's finger repetitively as the examiner moves his finger to new positions.


Heel-to-shin
The patient places her heel on the opposite knee then runs the heel down the shin to the ankle and back to the knee in a smooth coordinated fashion.


Station
Have the patient stand still. Note the position of the feet and how steady the patient is with eyes open. In the demonstrated exam, the patient is asked to hop and pat at the same time. This is a good way to test upper and lower extremity coordination and balance simultaneously.


Natural gait
The patient should be observed walking as she normally would.


Tandem gait
The patient is asked to walk heel-to-toe. Note steadiness. Tandem gait requires the patient to narrow the station and maintain balance over a 4-5 inch width. Patients with midline ataxias have difficulty with tandem gait.


 


 
COMPARISON OF NORMAL versus ABNORMAL EXAM FINDINGS
EXAM
NORMAL
ABNORMAL
Speech Rapid Alternating Movements


Tremor
Rebound
Check Reflex


Hand Rapid Alternating Movements


Finger-to-nose


Foot rapid alternating movements


Toe-to-finger


Heel-to-shin


Station


Natural Gait


Tandem Gait


 


 

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