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Neurological examination

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Abstract

Clinical examination is required to diagnose and localize disorders of the nervous system, and provide information on the severity of some disorders.

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Figures

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Figure EXN.1: The motor function of CN V can be assessed by testing the resistance of the jaw to opening of the mouth
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Figure EXN.2: The sensory function of the maxillary branch of CN V can be assessed by the palpebral reflex observed on touching the lateral canthus of the eye.
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Figure EXN.3: The sensory function of the ophthalmic branch of CN V can be assessed by observing the response to stimulation of the nasal mucosa.
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Figure EXN.4: The motor function of CN VII is assessed by observing the face for symmetry, blinking and movement of the nostrils.
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Figure EXN.5: Postural reaction testing can be achieved by placing a paw in an abnormal position and observing how long it takes the animal to return it to the correct position.
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Figure EXN.6: Testing the hopping reaction involves holding the animal so that the majority of its weight is centred over one limb and then moving it laterally.
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Figure EXN.7: The withdrawal (flexor) reflex can be elicited by pinching the nailbed or digits.
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Figure EXN.8: A reflex hammer is used to strike the patellar tendon in order to evaluate the patellar reflex.
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Figure EXN.9: Deep pain perception is tested by applying heavy pressure to digits using artery forceps.
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Figure EXN.10: Palpation can be used to assess for pain in the thoracic and lumbar spine.
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Figure EXN.11: Neck manipulation should be performed in a dorsal, ventral and lateral direction to assess for pain.

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Procedure video: Neurological examination

This video shows how to perform key elements of a neurological examination

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