12. Neurological
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Obtain health history:
•
Headaches
•
Head injury
•
Dizziness or vertigo
•
Seizures
•
Tremors
•
Weakness
•
Incoordination
•
Numbness or tingling
•
Difficulty swallowing
•
Difficulty speaking
•
Significant past history
•
Environmental / occupational
hazards
•
Changes in LOC
•
Appearance and behaviour
•
Speech and expression
•
Cognitive functioning: memory,
orientation, attention span,
calculation ability, thought content,
abstract thinking, judgment, insight
and emotional status
•
Constructional ability (perform
simple tasks)
Assess sensory function:
•
Pain perception
•
Touch sensation
•
Vibratory sense
•
Position sense
•
Discrimination
•
Muscle tone
•
Muscle strength
•
Cerebellar function
•
Deep tendon reflexes (biceps,
triceps, brachioadialis,
patellar and Achilles)
•
Superficial reflexes
(Babinski’s, cremasteric and
abdominal)
Cranial nerves – olfactory
impairment, visual impairment,
auditory problems, speech and
swallowing impairment,
constructional problems
Muscles – tics, tremors,
fasciculations, gait
Assess motor function:
Assess reflexes: