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Neuro Assessment
Dr. Samir Jadav
ASSESSMENT
DEMOGRAPHIC DETAILS
NAME
AGE
GENDER
OCCUPATION
ADDRESS
HAND DOMINANCE
DATE OF ASSESSMENT
CHIEF COMPLAINTS
HISTORY
H/O PRESENT ILLNESS
PAST MEDICAL HISTORY
FAMILY HISTORY
PERSONAL HISTORY
SOCIOECONOMIC HISTORY
FUNCTIONAL HISTORY
VITALS
TEMP. - 98.6˚F/37˚C
RESPI.RATE- 16-20/min
HEARTRATE- 60-80 bpm
B.P. - 120-80 mmHg
PAIN ASSESSMENT
(FOR SHOULDER PAIN)
SIDE
SITE
DURATION
TYPE
NATURE OF PAIN
ONSET OF PAIN
RADIATING PAIN
A/F
R/F
INTENSITY OF PAIN: NPRS/VAS SCALE
ON OBSERVATION
BODY BUILT
POSTURE
ATTITUDE OF LIMB
ATTITUDE OF PATIENT
EXTERNAL APPLIANCES
DEFORMITIES
WOUND/SCAR
OEDEMA
SKIN/TROPHIC CHANGES
MUSCLE WASTING
GAIT
ON PALPATION
WARMTH
TEXTURE OF SKIN
TENDERNESS
SPASM
OEDEMA
PULSE
CREPITUS
MUSCLE WASTING
ON EXAMINATION
HIGHER FUNCTION TESTS
CONCIOUSNESS
ORIENTATION
MEMORY
BEHAVIOUR
ATTENTION
SPEECH
HEARING
CRANIAL NERVES EXAMINATION
OLFACTORY
OPTIC
OCULOMOTOR
TROCHLEAR
TRIGEMINAL
ABDUCENS
FACIAL
VESTIBULOCOCHLEAR
GLOSSOPHARYNGEAL
VAGUS
ACCESSORY
HYPOGLOSSAL
SENSORY EXAMINATION
SUPERFICIAL- fine,crude touch,
pinprick,
temp.,
pressure
DEEP - proprioception,
kinesthetic,
vibration
CORTICAL - stereognosis,
2point discrimination,
tactile localization,
barognosis,
graphesthesia
MOTOR EXAMINATION
MUSCLE TONE
ROM :- AROM
PROM
ENDFEEL
JOINTPLAY
MMT
REFLEXES :- SUPERFICIAL- abdomen, plantar,
Hoffman sign
DTR - biceps,triceps,
brachioradialis, knee,
ankle jerk
LIMB MEASUREMENT :- LENGTH,
GIRTH
GAIT ASSESMENT
RESPIRATORY ASSESSMENT
FUNCTIONAL ASSESSMENT
SPECIAL TEST
INVESTIGATIONS
DIFFERENTIAL DIAGNOSIS
DIAGNOSIS
PROBLEM LIST
PT MGMT

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Neuro Assessment Report by Dr. Samir Jadav