Neurological Sheet

Examination of the Motor System Inspection :

Examination of the Muscle Tone Passive Movements Shaking Gower’s method

Abnormal Muscle tone Hypertonia Hypotonia

Types of Hypertonia Rigidity Spasticity Site of lesion Distribution Extra pyramidal Pyramidal Site of lesion Proximal>distal Flexors of U.L &L.L &Trunk Distal> proximal Extensors of L.L Trunk &Flexors of U.L. Distribution Lead pipe or Cog-wheel Clasp - knife Character Hypo reflexia Hyper reflexia Deep Reflexes

Examination of the Muscle Power Upper Limb : . Shoulder . Elbow . Wrist . Hand

Examination of the Muscle Power Abdomenal Muscles(T6-T12) : Lower Limb : . Hip . knee . Ankle

Examination of Reflexes Deep Reflexes Superficial reflexes

Examination of the Sensory System Superficial Sensations : Pain – Temperature – Touch Deep Sensation : * Vibration Sense * Joint Sense * Muscle Sense * Nerve Sense * Romberg’s Test

Examination of the Sensory System Cortical Sensation :

Examination of Coordination Upper Limb :

Examination of Coordination Lower Limb :

Examination of the Back and Spine Examine for : 1- Tenderness 2- Deformity 3- Hair tuft 4- Swelling 5- Abnormal pigmentation

Examination of the Cranium Examine for : 1- Size,Shape,Sutures&Fontanelles 2- Bony tenderness 3- Dilated veins 4- McEwin’s sign in brain tumors

Examination of the Gait .

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