Neurologic Examination

Mental Status: Awake and Coherent

Glasgow Coma Scale
Eye Response

Verbal Response

Motor Response

Open Spontaneously
Open to Verbal
command
Open in Response to
pain
No response
Talking/ Orientated
Confused speech/
Disoriented
Inappropriate words
Incomprehensible
sounds
No response
Obeys commands
Localizes pain
Withdraws from pain
Abnormal flexion
Extension
No response

TOTAL
Cranial Nerves
Cranial Nerve
CN I
(Olfactory)

Rationale
Can familiarize and identify
smell
Passed the following test:
Acuity

CN II
(Optic)
Color
Fields

4
3
2
1
5
4
3
2
1
6
5
4
3
2
1
15
Actual Finding
Patient can familiarize
and identify smell

Patient is able to
identify letter/read in
the newsprints at a
distance of fourteen
inches.
Patient Vision of the
patient is 20/20
Black
When looking straight
ahead, the client can
see objects at the
periphery which is done
by having the client sit

Reflexes

directly facing the

nurse at a distance of
2-3 feet
Reflexes of the eye is
Normal

CN III
(Oculomotor)

Involved in movements of the

eye

Patients pupils are

normal. He is also able
to follow finger
movements in the
procedure.

CN V
(Trigeminal)

Involved in sensory supply to

the face and motor supply to
the muscles of mastification

Patient can feel touch

and pain in the face.

CN VII
(Facial)

Supplies motor branches to

the muscles of facial
expression

Patient is able to grin.

There are eye
movement and can
raise his eyebrow

CN VIII
(Vestibulocochlear)

Provides innervation to the

hearing apparatus of the ear
and can be used to
differentiate conductive and
sensori- neural hearing

Patient has no hearing

defect

CN IX
(Glossopharyngeal)

Provides sensory supply to the

palate

Patient is able to
swallow. Phonation is
clear upon opening his
mouth. Gag reflex is
normal

CN X
(Vagus)

Provides motor supply to the

pharynx

Patients taste buds are

normal

CN XI
(Accessory)

Gives motor supply to the

sternocleidomastoid and
trapezius muscles

Patient is able to shrug

his shoulders and
muscle movements are
normal.

CN IV
(Trochlear)
CN VI
(Abducens)

CN XII
(Hypoglossal)

Provides motor supply to the

muscles of the tongue

Patient can protrude his

tongue. Fibrillation is
present.