HIGHER

MENTAL FUNCTIONS

General appearance
Consciousness
Handedness
ORIENTATION Time
Place
Person
MEMORY Immediate
Intermediate
Remote
SPEECH Spontaneous
Comprehension
Naming
Reading
Writing
Attention & Calculation
Serial 7s
Constructional apraxia
Insight and judgment
Abstract thinking
MINI MENTAL STATE EXAMINATION

CRANIAL NERVE EXAMINATION

CRANIAL NERVE RIGHT LEFT

1 OLFACTORY
Smell
2 OPTIC
Visual acuity
Field of vision
Colour vision
Fundus
346 OCCULOMOTOR, TROCLEAR,
ABDUCENS
Ptosis
Eyeball
Nystagmus
Pupil
Direct light reflex
Indirect light reflex
Accommodation
5 TRIGEMINAL
Muscles of mastication
Sensation over face
Corneal reflex
Jaw jerk
7 FACIAL
Facial symmetry

Taste (ant 2/3)

8 VESTIBULOCOCHLEAR
Voice test
Rinne test
Weber test
Absolute Bone Conduction
(Positional nystagmus)
9 GLOSSOPHARYNGEAL
Soft palate
Uvula
Gag reflex
11 SPINAL ACCESSORY
Sternocleidomastoid
Trapezius
12 HYPOGLOSSAL
Tongue deviation
Fasciculations
MOTOR SYSTEM
1. ATTITUDE:
2. NUTRITION:

CIRCUMFERENCE (cm) RIGHT LEFT

ARM
FOREARM
THIGH
CALF

3,4. TONE and POWER:

TONE POWER

RIGHT LEFT RIGHT LEFT

UPPER LIMB
Shoulder
Elbow
Wrist
Fingers
LOWER LIMB
Hip
Knee
Ankle
Toes

5. INVOLUNTARY MOVEMENTS:





6. CO-ORDINATION:
8

TEST RIGHT LEFT

Finger-nose
Finger-nose-finger
Heel-knee-shin
Diadochokinesia
REFLEXES

DEEP TENDON REFLEXES

REFLEX NERVE (Root value) RIGHT LEFT

BICEPS JERK Musculocutaneous (C5)
SUPINATOR JERK Radial (C5, C6)
TRICEPS JERK Radial (C6, C7)
Pectoral reflex L&M Pectoral (C5-T1)
Finger flexion test Median (C6-T1)
Hoffman reflex
Wartenburg’s sign
KNEE JERK Femoral (L3, L4)
ANKLE JERK Medial popliteal (S1)
Rossolimo’s reflex
JAW JERK Trigeminal

SUPERFICIAL REFLEXES

REFLEX NERVE (Root value) RIGHT LEFT

ABDOMINAL Segmental innervation

Upper T7-T9
Middle T9-T11
Lower T11, T12
CREMASTERIC L1, L2
ANAL S4, S5
PLANTAR
BABINSKI

OTHER REFLEXES

Glabellar tap
Grasp
Palmo-mental
Sucking

SENSORY SYSTEM

RIGHT LEFT
LATERAL
Touch
Pain
Temperature
DORSAL
Proprioception
Vibration
Joint sense
Muscle sense
CORTICAL
Tactile localization
Tactile discrimination
Stereognosis
Graphesthesia

CEREBELLAR SIGNS:

RIGHT LEFT

TONE
TITUBATION
NYSTAGMUS
SPEECH
CO-ORDINATION
Finger-nose
Finger-nose-finger
Heel-knee-shin
DIADOCHOKINESIA
INTENTION TREMORS
ATAXIA
REBOUND PHENOMENON
PENDULAR KNEE JERK
TANDEM GAIT
MENINGIAL SIGNS

SIGN OBSERVATION INFERENCE

Neck rigidity
Kernig sign
Brudzinski neck sign
Brudzinski leg sign

STANCE AND GAIT

Stance
Romberg sign
Gait
Tandem gait

CRANIUM AND SPINE

Spine tenderness
Spine deformity
Straight leg raising
Lasegue’s sign

PERIPHERAL NERVES








CVS:


RS:


P/A:


DIFFERENTIAL DIAGNOSIS:





LAB INVESTIGATIONS:






TREATMENT: