Full transcript
0:00so now i'm going to be doing a
0:01neurologic exam we're going to be doing
0:04a number of tests to evaluate your brain
0:06function and your nervous system
0:08function
0:09i'm going to ask you a series of
0:10questions and then i'm going to be doing
0:11a few different tests to
0:13evaluate how things are working all
0:15right
0:16as i'm doing those tests i'm going to be
0:18touching a few different areas from your
0:20head along your neck shoulders
0:22along your arms to your hands and also
0:25from your thighs down to your feet
0:27if anything is tender if you're
0:28uncomfortable at any point if you need
0:30me to stop or change what i'm doing
0:31please let me know okay is it okay if i
0:33begin it is all right so let's begin by
0:36telling me what's today's date july 18
0:392022. great and what city are we in fort
0:41worth texas great i'm going to give you
0:43three objects to remember first i'd like
0:46you to repeat them for me and then i'm
0:48going to ask you those three objects
0:49later okay
0:51the three objects are apple
0:53table and penny apple table penny great
0:57now can you spell world backwards
1:00d-l-r-o-w
1:04great and can you identify that object
1:06there
1:08a clock great can you identify this
1:10object
1:11great and can you repeat after me no ifs
1:14ands or buts no ifs ands or buts great
1:18so now i'm going to
1:20check your visual fields i'd like you to
1:23cover your right eye
1:25and let me know when you see my finger
1:27come into view
1:29now
1:30good
1:32now good
1:36now
1:38now okay and then cover your left eye
1:41and let me know when you see my finger
1:43come into view
1:45now
1:48now
1:49okay
1:52now
1:55now
1:56okay and then uncover both eyes
1:58and let me know when you see my finger
2:00come into view
2:01now okay
2:04now
2:07now
2:09now
2:10okay so now follow my finger leave your
2:13head right in place and follow my finger
2:16as i move it in space okay
2:20okay
2:27and just follow it in
2:30and out
2:32so now i'm going to turn off the light
2:33and i'm going to shine a light in your
2:34eyes to check your pupils okay
2:36while i'm going to turn up the light
2:38just turn your body to the left okay
2:49all right
2:51so just look at a fixed point right here
2:54on the wall
2:55i'm gonna shine a light in your eyes
2:57looking at your left eye
2:59and then looking at your right eye
3:02good
3:03shot from the other side
3:06looking at your right eye
3:09and then looking at your left eye
3:12very good
3:14so now i'm going to put my hand on your
3:15head and continue looking at that point
3:18on the wall and i'm going to bring the
3:20light right into your eye so you can see
3:22inside okay
3:34i'll put my other hand on your head
3:46okay so now i'm going to turn on the
3:47light again and while i do if you can
3:50turn to your right again
3:57so now i'm going to go grab a cotton
3:58ball
3:59and i'm going to be touching a few
4:00different spots on your face i'd like
4:02you to close your eyes and let me know
4:04when you feel the cotton ball on your
4:06face okay
4:07now
4:10now
4:12now
4:14now
4:16now
4:18now
4:20now i'm going to whisper some numbers to
4:22you and i'd like you to repeat them to
4:23me okay so first cover your right ear
4:2923 23
4:31good and then cover your left ear
4:3647. great
4:38so now i'm going to check the muscles of
4:40your face if you can raise your eyebrows
4:42up and then close your eyes really tight
4:44don't let me open them
4:46good and then frown
4:48and then
4:49show me your teeth
4:51and then smile
4:52and then puff out your cheeks
4:54good and then stick out your tongue
4:57and then point it to the right and to
4:59the left
5:00good
5:01and i'm gonna put my hand on your face
5:03and i'm gonna ask you to turn into my
5:05hand okay turn your head to the left
5:07turn your head to the right
5:09i'm going to put my hands on your
5:10shoulders and i'm going to ask you to
5:11push up against me
5:13good elbows out to the sides don't let
5:15me push you down
5:17good arms out in front of you
5:19don't let me pull you don't let me push
5:21you
5:22good don't let me pull you don't let me
5:25push you
5:27wrists out in front of you up
5:29don't let me pull them down
5:31good
5:32hands open
5:33and don't let me close your fingers
5:36good
5:37and then squeeze my fingers
5:38and squeeze my fingers
5:41good
5:42and i'm going to put my hand on your
5:44knee i like you to push me up to the
5:45ceiling
5:47good and then push me up to the ceiling
5:48again
5:49good
5:50and then with your left leg push me away
5:53and then pull me back to you
5:55good
5:56then with your right leg pull me away
5:58and push me pull me back to you good
6:00with your left foot push me up to the
6:02ceiling
6:03and i push down like a gas pedal
6:05good and then up to the ceiling
6:07and then push down like a gas pedal
6:10so now i'm gonna go grab a cotton ball
6:12and i'd like you to tell me the three
6:14things that i asked you to remember
6:18great
6:19so now i'm going to be touching a few
6:21different spots
6:22along your shoulders your arm your hand
6:25and along your thighs and down your leg
6:27i'd like you to start by
6:29putting your hands up like this
6:32and i also like you to raise the
6:34shoulders of your gown
6:36just so that i can
6:38touch your shoulders
6:40and also if you can raise the bottom of
6:42your gown so that i can touch your
6:43thighs
6:44good
6:45and close your eyes and let me know when
6:47you feel the cotton ball touching you
6:49okay
6:50now
6:52now
6:54now
6:55now
6:57now
7:00now now
7:03now
7:05now
7:07now
7:08can you move your arms to your sides
7:10i'm just going to be touching your thigh
7:13now
7:15now
7:17now
7:19now
7:21now
7:24now
7:26now
7:28now
7:30now
7:32now
7:34so you can open your eyes and i'm going
7:35to put my hand on your head and on my
7:37other hand i'm going to be touching your
7:38neck to see if anything is tender or
7:40abnormal there
7:45any of that tender no okay
7:48all right so now i'd like you to look at
7:51my finger here and
7:53take one hand and
7:54point one finger up touch your nose and
7:57then touch my finger rapidly
7:59good
8:00good
8:02good
8:04great
8:05and now take your right heel and bring
8:08it to your left knee
8:10and then just slide it down your shin to
8:11your ankle
8:14very good and you can do it with the
8:15other side as well
8:18good and now with both of your hands i'd
8:20like you to quickly alternate
8:23up and down
8:25hitting your thighs
8:29very good
8:30and now i'd like you to stand up and i'd
8:32like you to walk towards the door and
8:34when you're walking through towards the
8:35door you can do it casually normally
8:40and now when you're walking back walk
8:43with one foot right in front of the
8:44other
8:50very good so you can stop right there
8:52and i'd like you to close your eyes and
8:53just try to maintain your balance
8:55and we're going to wait here
9:02okay you can open your eyes and now i'd
9:04like you to put your arms in front of
9:06you like this and then close your eyes
9:09again and we're going to wait
9:16very good
9:17if you could have a seat again
9:19and i'm just going to quickly check your
9:21reflexes
9:23take your arm
9:26good
9:29good
9:37okay
9:41good
9:50good i'm going to check your knees
9:55and this one
9:58and then your ankles
10:05good i'm going to take the bottom of
10:07this and i'm going to scrape along the
10:08bottom of your foot i'll try to not make
10:10it hurt okay
10:17very good
10:20and then this one
10:25very good