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    CNS Proforma

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    amogh anand
    This document contains an examination template for assessing higher mental functions, cranial nerves, motor system, reflexes, sensory system, cerebellar signs, meningeal signs, stance and gait, cranium and spine, peripheral nerves, and cardiovascular, respiratory and abdominal systems. Sections include tests of orientation, memory, speech, attention, constructional abilities, insight and more. Cranial nerves, tone, power, coordination and reflexes are evaluated bilaterally. Sensation, cerebellar function and meningeal signs are also assessed. Differential diagnosis and treatment are listed for consideration.

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    CNS Proforma

    Uploaded by

    amogh anand
    146 views8 pages
    This document contains an examination template for assessing higher mental functions, cranial nerves, motor system, reflexes, sensory system, cerebellar signs, meningeal signs, stance and gait, cranium and spine, peripheral nerves, and cardiovascular, respiratory and abdominal systems. Sections include tests of orientation, memory, speech, attention, constructional abilities, insight and more. Cranial nerves, tone, power, coordination and reflexes are evaluated bilaterally. Sensation, cerebellar function and meningeal signs are also assessed. Differential diagnosis and treatment are listed for consideration.

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    The most comprehensive pro forma for CNS Examination that a doctor or a med student will need

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    This document contains an examination template for assessing higher mental functions, cranial nerves, motor system, reflexes, sensory system, cerebellar signs, meningeal signs, stance and gait, cranium and spine, peripheral nerves, and cardiovascular, respiratory and abdominal systems. Sections include tests of orientation, memory, speech, attention, constructional abilities, insight and more. Cranial nerves, tone, power, coordination and reflexes are evaluated bilaterally. Sensation, cerebellar function and meningeal signs are also assessed. Differential diagnosis and treatment are listed for consideration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    146 views8 pages

    CNS Proforma

    Uploaded by

    amogh anand
    This document contains an examination template for assessing higher mental functions, cranial nerves, motor system, reflexes, sensory system, cerebellar signs, meningeal signs, stance and gait, cranium and spine, peripheral nerves, and cardiovascular, respiratory and abdominal systems. Sections include tests of orientation, memory, speech, attention, constructional abilities, insight and more. Cranial nerves, tone, power, coordination and reflexes are evaluated bilaterally. Sensation, cerebellar function and meningeal signs are also assessed. Differential diagnosis and treatment are listed for consideration.

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    of 8

    HIGHER

    MENTAL FUNCTIONS

    General appearance
    Consciousness
    Handedness
    ORIENTATION Time
    Place
    Person
    MEMORY Immediate
    Intermediate
    Remote
    SPEECH Spontaneous
    Comprehension
    Naming
    Reading
    Writing
    Attention & Calculation
    Serial 7s
    Constructional apraxia
    Insight and judgment
    Abstract thinking
    MINI MENTAL STATE EXAMINATION




    CRANIAL NERVE EXAMINATION

    CRANIAL NERVE RIGHT LEFT

    1 OLFACTORY
    Smell
    2 OPTIC
    Visual acuity
    Field of vision
    Colour vision
    Fundus
    346 OCCULOMOTOR, TROCLEAR,
    ABDUCENS
    Ptosis
    Eyeball
    Nystagmus
    Pupil
    Direct light reflex
    Indirect light reflex
    Accommodation
    5 TRIGEMINAL
    Muscles of mastication
    Sensation over face
    Corneal reflex
    Jaw jerk
    7 FACIAL
    Facial symmetry

    Taste (ant 2/3)


    8 VESTIBULOCOCHLEAR
    Voice test
    Rinne test
    Weber test
    Absolute Bone Conduction
    (Positional nystagmus)
    9 GLOSSOPHARYNGEAL
    Soft palate
    Uvula
    Gag reflex
    11 SPINAL ACCESSORY
    Sternocleidomastoid
    Trapezius
    12 HYPOGLOSSAL
    Tongue deviation
    Fasciculations
    MOTOR SYSTEM
    1. ATTITUDE:
    2. NUTRITION:

    CIRCUMFERENCE (cm) RIGHT LEFT

    ARM
    FOREARM
    THIGH
    CALF

    3,4. TONE and POWER:

    TONE POWER

    RIGHT LEFT RIGHT LEFT


    UPPER LIMB
    Shoulder
    Elbow
    Wrist
    Fingers
    LOWER LIMB
    Hip
    Knee
    Ankle
    Toes

    5. INVOLUNTARY MOVEMENTS:





    6. CO-ORDINATION:
    8

    TEST RIGHT LEFT


    Finger-nose
    Finger-nose-finger
    Heel-knee-shin
    Diadochokinesia
    REFLEXES

    DEEP TENDON REFLEXES

    REFLEX NERVE (Root value) RIGHT LEFT


    BICEPS JERK Musculocutaneous (C5)
    SUPINATOR JERK Radial (C5, C6)
    TRICEPS JERK Radial (C6, C7)
    Pectoral reflex L&M Pectoral (C5-T1)
    Finger flexion test Median (C6-T1)
    Hoffman reflex
    Wartenburg’s sign
    KNEE JERK Femoral (L3, L4)
    ANKLE JERK Medial popliteal (S1)
    Rossolimo’s reflex
    JAW JERK Trigeminal

    SUPERFICIAL REFLEXES

    REFLEX NERVE (Root value) RIGHT LEFT

    ABDOMINAL Segmental innervation


    Upper T7-T9
    Middle T9-T11
    Lower T11, T12
    CREMASTERIC L1, L2
    ANAL S4, S5
    PLANTAR
    BABINSKI

    OTHER REFLEXES

    Glabellar tap
    Grasp
    Palmo-mental
    Sucking

    SENSORY SYSTEM

    RIGHT LEFT
    LATERAL
    Touch
    Pain
    Temperature
    DORSAL
    Proprioception
    Vibration
    Joint sense
    Muscle sense
    CORTICAL
    Tactile localization
    Tactile discrimination
    Stereognosis
    Graphesthesia

    CEREBELLAR SIGNS:

    RIGHT LEFT

    TONE
    TITUBATION
    NYSTAGMUS
    SPEECH
    CO-ORDINATION
    Finger-nose
    Finger-nose-finger
    Heel-knee-shin
    DIADOCHOKINESIA
    INTENTION TREMORS
    ATAXIA
    REBOUND PHENOMENON
    PENDULAR KNEE JERK
    TANDEM GAIT
    MENINGIAL SIGNS

    SIGN OBSERVATION INFERENCE

    Neck rigidity
    Kernig sign
    Brudzinski neck sign
    Brudzinski leg sign

    STANCE AND GAIT

    Stance
    Romberg sign
    Gait
    Tandem gait

    CRANIUM AND SPINE

    Spine tenderness
    Spine deformity
    Straight leg raising
    Lasegue’s sign

    PERIPHERAL NERVES








    CVS:


    RS:


    P/A:


    DIFFERENTIAL DIAGNOSIS:





    LAB INVESTIGATIONS:






    TREATMENT:

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