Neurological Sheet

History Personal History : Personal History : Name Name Age Age Sex Sex Residence Residence Occupation Occupation Special habits Special habits Marital state Marital state Handedness Handedness

History Chief complain : Chief complain : Present history : Present history : Onset Onset Course Course Duration Duration

History Past History : Past History : Trauma Trauma Fever Fever D.M D.M Hypertension Hypertension T.B T.B Syphilis Syphilis Rheumatic fever & R.H.D Rheumatic fever & R.H.D

History Past History : Past History :. Otitis media. Otitis media. Previous drug intake. Previous drug intake. Previous similar attacks. Previous similar attacks

History Family History : Family History : Similar conditions in the family Consanguinity between parents

Examination General Examination : General Examination : General appearance General appearance Pulse Pulse Temperature Temperature B.P B.P Heart Heart Chest Chest Abdomen Abdomen

Neurological Examination Examination of the Mental Function : State of consciousness State of consciousness Orientation for time&place Orientation for time&place Memory Memory Mood & Affect Mood & Affect Intelligence Intelligence Behaviour Behaviour

Examination Examination of Speech :. Aphasia. Aphasia. Dysarthria. Dysarthria

Examination of the Cranial Nerves Olfactory nerve Olfactory nerve Optic nerve Optic nerve Oculomotor nerve Oculomotor nerve Trochlear nerve Trochlear nerve Trigeminal nerve Trigeminal nerve Abducent nerve Abducent nerve Facial nerve Facial nerve Cochleo-Vestibular nerve Cochleo-Vestibular nerve

Examination of the Cranial Nerves. Glossopharyngeal nerve. Vagus nerve. Accessory nerve. Hypoglossal nerve

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