Neuro exam

Frontal (In Order)

  1. Orientation

    • Name, age, date, place

  2. Fund of Knowledge

    • who is the current president

  3. Concentration

    • Serial 7s

  4. Aphasia

    • Brocca’s area

    • Motor aspect is affected

    • no ifs ends ands buts

  5. Insight and Judgement

    • Judgement: “what would you do if you found a wallet on the floor?”

    • Insight: “what is the reason for your consult”

Temporal Lobe (Memory, Hearing, Orientation)

  1. Immediate

    1. I will tell you 3 things, can you repeat? (Try to remember them because i will ask about them later)

  2. Recent

    1. what did you eat for breakfast?

  3. Remote

    1. Who was your first grade teacher? What did you do for your birthday last year?

  4. Recall

    1. Ask again about the 3 things.

Parietal Lobe

  1. Dominant (Left side of the brain)

    • GERTSMANN SYNDROME

      • Right-Left disorientation

        • raise your right and left hand

      • Finger agnosia

        • which finger am i touching? (use PTs own hand)

      • Acalculia

        • Math (addition subtraction)

      • Agraphia (Do not confuse with Agraphestesia)

      • Apraxia (test RIGHT and LEFT Hand)

        • Ability to perform simple tasks

        • Ideation

          • Ask patient to tell you how to make a cup of coffee (narrate)

        • Ideomotor

          • Alam nya pero di nya magawa

        • Thought - Plan - Motor

          • X thought and plan = ideation

          • X motor = Ideomotor

      • Astereonogsia

        • identify an object by how its shape feels

  2. Non-dominant (Right side of the brain)

    1. Anosagnosia

      • Tactile neglect

      • Visual neglect

    2. Hemi-neglect

    3. Apraxia

      1. constructional

      2. dressing

Occipital Lobe

  1. Object Identification

  2. Facial recognition (Prosopagnosia)

    1. Have a picture of Duterte in neuro bag

  3. Color identification

  4. Reading

    1. Read with just eyes

    2. Read with voice

  5. Boston cookie theft picture

    1. identifies neglect

      1. Describe what you see in the picture

    2. identifies speech

      1. ability to describe

    3. Simultagnosia

      1. some parts they can identify others they cant