Full sequence: several maneuvers combined into one smooth exam

Full Sequence

Neurological Exam: Full Sequence

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Video coming soon

This video shows one approach to combining several maneuvers of the neurological exam into a smooth, logical sequence, ordered by patient positioning and gowning. Each maneuver's technique, findings, and evidence are on its own page, linked below.

Maneuvers in This Sequence

AccommodationMembers
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Accommodation
Rule in:HConcussion, IEAdie Tonic Pupil, IEConvergence Insufficiency +4 more
Rule out:NHConcussion, IEAdie Tonic Pupil, IEConvergence Insufficiency +4 more
🎬Video coming soon
Achilles Deep Tendon Reflex
aka Ankle jerk
Rule in:VHPeripheral Neuropathy, SHHypothyroidism, NHLumbosacral Radiculopathy +5 more
Rule out:VHPeripheral Neuropathy, MHHypothyroidism, NHLumbosacral Radiculopathy +5 more
Alternate Cover TestMembers
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Alternate Cover Test
aka Cross-cover test, Test of skew
Rule in:VHSkew Deviation, VHVestibular Dysfunction, HStroke +1 more
Rule out:VHStroke, VHVestibular Dysfunction, HSkew Deviation +1 more
🎬Video coming soon
Ankle Clonus
Rule in:IEUpper Motor Neuron Lesion
Rule out:IEUpper Motor Neuron Lesion
🎬Video coming soon
Asterixis
aka Flapping tremor; liver flap
Rule in:IEMetabolic Encephalopathy, IEStructural Brain Lesion
Rule out:IEMetabolic Encephalopathy, IEStructural Brain Lesion
🎬Video coming soon
Babinski Reflex
aka Plantar reflex
Rule in:VHUpper Motor Neuron Lesion, VHVascular Parkinsonism, HMultiple System Atrophy +4 more
Rule out:SHUpper Motor Neuron Lesion, MHMultiple System Atrophy, NHVascular Parkinsonism +4 more
Biceps Deep Tendon ReflexMembers
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Biceps Deep Tendon Reflex
aka Biceps jerk
Rule in:VHPeripheral Neuropathy, SHCervical Radiculopathy, IECervical Myelopathy +2 more
Rule out:MHPeripheral Neuropathy, NHCervical Radiculopathy, IECervical Myelopathy +2 more
🎬Video coming soon
Brachioradialis Deep Tendon Reflex
aka Supinator jerk
Rule in:HCervical Radiculopathy, SHCervical Myelopathy
Rule out:SHCervical Myelopathy, SHCervical Radiculopathy
🎬Video coming soon
Brudzinski Sign
aka Nape-of-the-neck sign
Rule in:SHMeningitis
Rule out:NHMeningitis
ConvergenceMembers
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Convergence
aka Near point of convergence (NPC) test
Rule in:VHSerious Eye Disease, VHVestibular Migraine, SHProlonged Concussion Recovery +1 more
Rule out:VHVestibular Migraine, SHProlonged Concussion Recovery, SHSerious Eye Disease +1 more
Cranial Nerve IX and XMembers
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Cranial Nerve IX and X
Rule in:IEAspiration, IEBulbar Palsy, IEThyroid Carcinoma
Rule out:IEAspiration, IEBulbar Palsy, IEThyroid Carcinoma
Cranial Nerve VMembers
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Cranial Nerve V
Rule in:VHStroke, ICOrbital Fracture, IEMidfacial Fracture +2 more
Rule out:NHOrbital Fracture, NHStroke, IEMidfacial Fracture +2 more
Cranial Nerve VIIMembers
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Cranial Nerve VII
Rule in:VHStroke, HFacial Weakness, IEPeripheral Facial Nerve Palsy
Rule out:VHFacial Weakness, NHStroke, IEPeripheral Facial Nerve Palsy
Cranial Nerve XIMembers
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Cranial Nerve XI
Rule in:IESpinal Accessory Nerve Palsy
Rule out:IESpinal Accessory Nerve Palsy
Cranial Nerve XIIMembers
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Cranial Nerve XII
Rule in:HStroke, IEHypoglossal Nerve Palsy
Rule out:NHStroke, IEHypoglossal Nerve Palsy
Cremasteric ReflexMembers
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Cremasteric Reflex
Rule in:ICTesticular Torsion, IESpinal Cord Lesion, IEUpper Motor Neuron Lesion
Rule out:SHTesticular Torsion, IESpinal Cord Lesion, IEUpper Motor Neuron Lesion
🎬Video coming soon
Dix-Hallpike Maneuver
Rule in:IEPosterior Canal BPPV, IEVestibular Dysfunction
Rule out:IEPosterior Canal BPPV, IEVestibular Dysfunction
🎬Video coming soon
Elbow Strength
Rule in:VHFunctional Neurologic Disease, HCervical Radiculopathy, NHDistal Biceps Tendon Rupture +1 more
Rule out:SHCervical Radiculopathy, SHFunctional Neurologic Disease, ICDistal Biceps Tendon Rupture +1 more
Extraocular MovementsMembers
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Extraocular Movements
Rule in:VHStroke, SHHyperthyroidism, SHMyasthenia Gravis +9 more
Rule out:HMyasthenia Gravis, SHHyperthyroidism, NHOrbital Fracture +9 more
Eye InspectionMembers
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Eye Inspection
Rule in:VHHyperthyroidism, VHStroke, HSerious Eye Disease +18 more
Rule out:HConjunctivitis, SHHypovolemia, MHAnemia +18 more
Finger Rub TestMembers
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Finger Rub Test
Rule in:VHHearing Impairment
Rule out:VHHearing Impairment
🎬Video coming soon
Finger-to-nose
Rule in:VHMultiple System Atrophy, VHStroke, IECerebellar Disease +2 more
Rule out:MHMultiple System Atrophy, NHStroke, IECerebellar Disease +2 more
🎬Video coming soon
Gait Assessment
Rule in:VHStroke, HFalls, HVascular Parkinsonism +24 more
Rule out:SHDementia, SHVascular Parkinsonism, MHFalls +24 more
Hand StrengthMembers
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Hand Strength
Rule in:VHFunctional Neurologic Disease, SHCervical Radiculopathy, MHCarpal Tunnel Syndrome +3 more
Rule out:SHCarpal Tunnel Syndrome, SHFunctional Neurologic Disease, NHCervical Radiculopathy +3 more
Head Impulse TestMembers
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Head Impulse Test
aka Head thrust test; Halmagyi test
Rule in:VHVestibular Dysfunction, HStroke
Rule out:VHStroke, VHVestibular Dysfunction
🎬Video coming soon
Heel-to-shin
aka Heel-knee-shin test
Rule in:IECerebellar Disease, IEMultiple Sclerosis, IESensory Ataxia
Rule out:IECerebellar Disease, IEMultiple Sclerosis, IESensory Ataxia
HINTS ExamMembers
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HINTS Exam
Rule in:VHVestibular Dysfunction, HStroke
Rule out:VHStroke, VHVestibular Dysfunction
🎬Video coming soon
Hip Strength
Rule in:VHFunctional Neurologic Disease, VHGluteal Tendinopathy, VHLumbosacral Radiculopathy +6 more
Rule out:HGluteal Tendinopathy, HLumbosacral Radiculopathy, SHFunctional Neurologic Disease +6 more
🎬Video coming soon
Ipswich Touch Test
aka IpTT; Ipswich test
Rule in:VHPeripheral Neuropathy
Rule out:SHPeripheral Neuropathy
Kernig SignMembers
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Kernig Sign
Rule in:SHMeningitis, ICStroke
Rule out:NHMeningitis, NHStroke
🎬Video coming soon
Knee Strength
Rule in:VHFunctional Neurologic Disease, IEExtensor Mechanism Disruption, IEFemoral Neuropathy +2 more
Rule out:SHFunctional Neurologic Disease, IEExtensor Mechanism Disruption, IEFemoral Neuropathy +2 more
Light Touch SensationMembers
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Light Touch Sensation
Rule in:VHCervical Radiculopathy, VHPeripheral Neuropathy, SHLumbosacral Radiculopathy +6 more
Rule out:MHPeripheral Neuropathy, NHCauda Equina Syndrome, NHCervical Radiculopathy +6 more
Mental Status AssessmentMembers
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Mental Status Assessment
aka Mental status examination
Rule in:VHCirrhosis, VHDelirium, HDementia +6 more
Rule out:VHDementia, VHMajor Depressive Disorder, HDelirium +6 more
🎬Video coming soon
Monofilament Testing
aka Semmes-Weinstein monofilament test
Rule in:SHPeripheral Neuropathy, MHCarpal Tunnel Syndrome, NHDiabetic Foot Ulcer +1 more
Rule out:SHDiabetic Foot Ulcer, MHCarpal Tunnel Syndrome, MHPeripheral Neuropathy +1 more
Nuchal RigidityMembers
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Nuchal Rigidity
Rule in:HStroke, HSubarachnoid Hemorrhage, MHMeningitis
Rule out:NHMeningitis, NHStroke, NHSubarachnoid Hemorrhage
Nystagmus CharacterizationMembers
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Nystagmus Characterization
Rule in:VHStroke, VHVestibular Dysfunction
Rule out:VHStroke, VHVestibular Dysfunction
OphthalmoscopyMembers
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Ophthalmoscopy
aka Fundoscopy
Rule in:VHGlaucoma, VHIncreased Intracranial Pressure, SHDiabetic Retinopathy +14 more
Rule out:SHGlaucoma, MHDiabetic Retinopathy, MHIncreased Intracranial Pressure +14 more
🎬Video coming soon
Patellar Deep Tendon Reflex
aka Knee jerk
Rule in:VHLumbosacral Radiculopathy, VHPeripheral Neuropathy, IECerebellar Disease +5 more
Rule out:SHPeripheral Neuropathy, ICLumbosacral Radiculopathy, IECerebellar Disease +5 more
Phalen TestMembers
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Phalen Test
Rule in:MHCarpal Tunnel Syndrome
Rule out:MHCarpal Tunnel Syndrome
🎬Video coming soon
Pronator Drift
Rule in:VHBrain Tumor, VHFunctional Neurologic Disease, HUpper Motor Neuron Lesion +5 more
Rule out:VHFunctional Neurologic Disease, VHUpper Motor Neuron Lesion, MHBrain Tumor +5 more
🎬Video coming soon
Proprioception Toe Test
Rule in:HPeripheral Neuropathy
Rule out:VHPeripheral Neuropathy
Pupillary Light ReactionMembers
Sign in
Pupillary Light Reaction
Rule in:VHSerious Eye Disease, HPoor Neurologic Outcome, HStructural Brain Lesion +11 more
Rule out:SHPoor Neurologic Outcome, SHSerious Eye Disease, SHStructural Brain Lesion +11 more
Rinne TestMembers
Sign in
Rinne Test
Rule in:SHHearing Impairment
Rule out:SHHearing Impairment
🎬Video coming soon
Romberg Test
aka Romberg sign
Rule in:SHFalls, SHLumbar Spinal Stenosis, IESensory Ataxia +3 more
Rule out:MHLumbar Spinal Stenosis, NHFalls, IESensory Ataxia +3 more
Sharp SensationMembers
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Sharp Sensation
Rule in:HPeripheral Neuropathy, SHCarpal Tunnel Syndrome, NHLumbosacral Radiculopathy +5 more
Rule out:SHPeripheral Neuropathy, NHCarpal Tunnel Syndrome, NHLumbosacral Radiculopathy +5 more
🎬Video coming soon
Shoulder Strength
Rule in:VHFunctional Neurologic Disease, HInfraspinatus Tear, SHSupraspinatus Tear +3 more
Rule out:HSupraspinatus Tear, SHFunctional Neurologic Disease, NHInfraspinatus Tear +3 more
Speech AssessmentMembers
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Speech Assessment
Rule in:SHAspiration, SHMultiple System Atrophy, SHParkinson Disease +5 more
Rule out:HMultiple System Atrophy, SHAspiration, SHHypovolemia +5 more
Spurling TestMembers
Sign in
Spurling Test
aka Foraminal compression test
Rule in:VHCervical Disc Herniation, IECervical Foraminal Stenosis
Rule out:VHCervical Disc Herniation, IECervical Foraminal Stenosis
🎬Video coming soon
Straight Leg Raise
aka Lasègue sign
Rule in:SHLumbosacral Radiculopathy, NHLumbar Disc Herniation, IECauda Equina Syndrome
Rule out:SHLumbar Disc Herniation, NHLumbosacral Radiculopathy, IECauda Equina Syndrome
Swinging Flashlight TestMembers
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Swinging Flashlight Test
aka Alternating light test
Rule in:SHGlaucoma, SHMultiple Sclerosis, IEMacular Disease +3 more
Rule out:ICGlaucoma, NHMultiple Sclerosis, IEMacular Disease +3 more
🎬Video coming soon
Tandem Gait
aka Heel-to-toe walking
Rule in:HAtypical Parkinsonism, SHParkinson Disease, SHVestibular Dysfunction +4 more
Rule out:HAtypical Parkinsonism, HParkinson Disease, SHVestibular Dysfunction +4 more
🎬Video coming soon
Timed Up-and-go Test
Rule in:HAtypical Parkinsonism, SHParkinson Disease, NHFalls
Rule out:HParkinson Disease, SHAtypical Parkinsonism, NHFalls
Tinel Test of the ElbowMembers
Sign in
Tinel Test of the Elbow
aka Hoffmann-Tinel sign
Rule in:NHCubital Tunnel Syndrome
Rule out:NHCubital Tunnel Syndrome
Tinel Test of the WristMembers
Sign in
Tinel Test of the Wrist
aka Hoffmann-Tinel sign
Rule in:SHCarpal Tunnel Syndrome
Rule out:MHCarpal Tunnel Syndrome
🎬Video coming soon
Triceps Deep Tendon Reflex
aka Triceps jerk
Rule in:SHCervical Radiculopathy, ICCervical Myelopathy
Rule out:SHCervical Radiculopathy, NHCervical Myelopathy
Vibratory SensationMembers
Sign in
Vibratory Sensation
Rule in:VHPeripheral Neuropathy, ICCarpal Tunnel Syndrome
Rule out:VHPeripheral Neuropathy, NHCarpal Tunnel Syndrome
🎬Video coming soon
Visual Acuity
Rule in:VHRefractive Error, VHVisual Impairment, IEDiabetic Retinopathy
Rule out:HRefractive Error, HVisual Impairment, IEDiabetic Retinopathy
Visual Field TestingMembers
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Visual Field Testing
Rule in:HVisual Field Defect, SHTemporal Lobe Lesion, IEMacular Disease +3 more
Rule out:SHVisual Field Defect, ICTemporal Lobe Lesion, IEMacular Disease +3 more
Weber TestMembers
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Weber Test
Rule in:VHHearing Impairment
Rule out:SHHearing Impairment
Whispered Voice TestMembers
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Whispered Voice Test
Rule in:HHearing Impairment
Rule out:VHHearing Impairment

Related Systems / Regions

Head, Eyes, Ears, Nose, ThroatNeurological