Cognitive

• GCS (3-15)
• A&O x 3
• What happened?
• Observed for slurred speah

Cranial Nerve

• 2: PearL, RAPD, visual field (+ cortical sensation)
• 3,4,6 : H test - EOM, Gaze
• 5: Light touch on dermatome
• 7: Facial Expressions upper & Lower
• 9: Uvula midline
• 11: Head Turning & Trap
• 12: Tongue midline

Upper Limb

• Sensory: 5 Dermatome (C5-T1) → light tough
• Motor:
  • Tone at shoulder, elbow, wrist
  • Shoulder abduction, eblow flexion/extension, Finger extension (C8), Adduction
  • UMN: Pronator Drift +/- Hoffman's Sign

Lower Limb

• Sensory: 5 Dermatome (L4-S1) → light tough
• Motor:
  • Tone at hip, knee, ankle
  • Power of hip flex , knee flex/extend, ankle flex/extend
  • UMN: Plantar Response +/- Ankle clonus