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NeuroLogical Cases

PediNeuroLogic Exam

INTRODUCTION

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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NEUROLOGICAL CASES

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Gait > Normal

SECTIONS

Station

Natural Gait

Heel and Toe Walking

Tandem Gait

COMPARISON OF DEMONSTRATIONS versus ABNORMAL EXAM FINDINGS

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Station The patient should be able to stand still with her feet less then shoulder width apart.	ii

Natural Gait The patient should be able to walk with a smooth, coordinated gait. There should be normal associated movement of the upper extremities.	ii

Heel and Toe Walking A good way to test balance as well as strength of the distal lower extremities is to have the patient heel and toe walk.	ii

Tandem Gait Have the patient walk heel-to-toe. The patient should be able to balance without falling or stepping to the side.	ii

COMPARISON OF DEMONSTRATIONS versus ABNORMAL EXAM FINDINGS
EXAM	DEMONSTRATION	ABNORMAL
Hemiplegic Gait
Diplegic Gait
Neuropathic Gait
Myopathic Gait
Parkinsonian Gait
Choreiform Gait
Ataxic Gait