Western University

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    Examing facial power CN VII forceful eye closure

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    Examining facial power-cranial nerve VII -examiner asks patient to squeeze eyes tight shut to see if they can bury eyelashes (orbicularis oculi)https://ir.lib.uwo.ca/clinicalskills_neuroexam/1549/thumbnail.jp

    Motor Testing: Finger Abduction

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    Motor testing finger abduction, C8 T1, ulnar nerve-asking patient to spread fingers and then examiner is trying to resist that movement with same finger e.g. 5th digit to 5th digit (abductor digiti minimi C7T1, ulnar nerve) Clinician: Anita Florendo-Cumbermack MBBS, MHPE, FRCPC, CSCN (EMG)https://ir.lib.uwo.ca/clinicalskills_neuroexam/1492/thumbnail.jp

    Testing shoulder shrug-trapezius, cranial nerve XI

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    Testing shoulder shrug-trapezius, cranial nerve XI-examiiner asks patient to shrug shoulders upwards against resistance (both sides tested simultaneously)https://ir.lib.uwo.ca/clinicalskills_neuroexam/1557/thumbnail.jp

    Movement disorder examination for parkinsonism: standing from bed without arms

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    Movement disorder examination for parkinsonism: standing from bed without armshttps://ir.lib.uwo.ca/clinicalskills_neuroexam/1662/thumbnail.jp

    Movement disorder examination for parkinsonism: finger tapping

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    Movement disorder examination for parkinsonism: finger tappinghttps://ir.lib.uwo.ca/clinicalskills_neuroexam/1650/thumbnail.jp

    Deep tendon reflex testing: Triceps (Alternative Positioning)

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    Deep tendon reflex testing, triceps, radial nerve, C6, C7, C8, arm bent and held up by examiner (patient encouraged to relax, let arm hand passively), hand used to palpate triceps tendon, tromner hammer strikes and finger positioned over the tendon Clinician: Anita Florendo-Cumbermack MBBS, MHPE, FRCPC, CSCN (EMG)https://ir.lib.uwo.ca/clinicalskills_neuroexam/1500/thumbnail.jp

    Movement disorder exam: drawing loops (cursive)

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    Movement disorder exam: drawing loops (cursive)https://ir.lib.uwo.ca/clinicalskills_neuroexam/1628/thumbnail.jp

    Supine knee jerk reflex (left)

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    putting arm under patient legs while supine in order to lift gently and passively flex knees in order to obtain knee jerk femoral nerve L3https://ir.lib.uwo.ca/clinicalskills_neuroexam/1449/thumbnail.jp

    Movement disorder examination for parkinsonism: standing from bed without arms

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    Movement disorder examination for parkinsonism: standing from bed without armshttps://ir.lib.uwo.ca/clinicalskills_neuroexam/1661/thumbnail.jp

    National institute of health stroke scale (NIHSS) item 6: motor leg (leg at 45 degrees and held for 5 seconds)

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    National institute of health stroke scale (NIHSS) item 6: motor leg (leg at 45 degrees and held for 5 seconds)https://ir.lib.uwo.ca/clinicalskills_neuroexam/1601/thumbnail.jp

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