5-minute Neurology Exam Handout (Deep Dive into the neuro exam)

www.urmc.rochester.edu

Greg Henry’s Neuro Exam

https://www.youtube.com/watch?v=M_Lm1Z2FMd4&list=PLQmMvqBOc_AVZB9g9WOf95y7V4wS1WMZr&index=6

The British Approach

The 3-minute neurological examination has been designed by neurologists to exclude sinister causes of headache including brain tumour and haemorrhage. The brief neurological examination is suitable for patients whose history suggests migraine or tension-type headaches.

Examination Notes
Romberg's test Patient falling with eyes closed.
Tandem gait test Heel-to-toe walking
**Walking on heels
Walking on toes
hopping on one foot** Tests pyramidal tract.
Test strength
Drift of outstretched arms Tests pyramidal tract.
Finger-nose test Tests coordination.
Fine finger movements Tests pyramidal and extrapyramidal tracts.
Hand tapping. Cerebellar and brainstem disease.
Shake Hands with hand in the air cogwheel rigidity
Visual fields to confrontation Vision
Eye movements Cranial nerves
**Face and tongue movements
squint eyes together
show me your teeth
wiggle your tongue** Cranial nerves
Fundoscopy
Reflexes

https://www.youtube.com/watch?v=wH0UaknKYmg