Neurology Progress Note
@HDAYS@
Subjective:
@name@ is a @age@ @sex@ with ***
PMHx, SH, FH, and ROS are otherwise unchanged since my last note, except as
noted:***
Current Medications:
@CMED2@
@vs@
Objective:
General appearance: well developed, in no distress
Mental Status: Awake, Alert. Oriented x3. Follows commands. Speech fluent.
Cranial Nerves: PERRL. Extraocular movements intact. Facial movement intact,
symmetric. Facial sensation intact V1-V3. Hearing intact to conversation. Palate elevates
symmetrically. Tongue midline. Shoulder shrug full strength.
Motor: RUE 5/5, LUE 5/5, RLE 5/5, LLE 5/5. Normal tone. No atrophy.
Sensation: Intact to light touch RUE, RLE, LUE, LLE.
Reflexes: Plantar reflexes downgoing.
Coordination/Cerebellar: Intact by finger-nose-finger exam.
Gait: Normal.
I reviewed the following studies:
Lab Review
@LABRCNT@
Imaging
@RISRSLT@
Assessment:
1)***
2)***
Comment:
A total of *** of *** minutes was spent discussing the pathophysiology and treatment of
*** and all questions were answered.
Plan:
1) ***
2) ***
3) ***