Main features:
- From 3 years of age, the neurological examination is almost superimposable on that of the adult, although obtaining information through indirect means remains useful, such as drawing or play.
GENERAL PEDIATRIC EXAMINATION:
- Weight: (z). Height: (z). PC: (z). Standards of —.
- Auscultation: Rhythmic heart sounds without murmurs or rubs. Good bilateral air entry without pathological sounds.
- Abdomen: Soft, depressible, without masses or visceromegaly.
- Normoformed genitals of —.
MORPHOLOGICAL EXAMINATION:
- Cranial morphology –. Sutures –.
- Dysmorphic features –.
- Skin examination –.
NEUROLOGICAL EXAMINATION:
- Alertness and higher functions: GCS: 15. Eye opening 5. Verbal response 5. Motor response 5. Language preserved (names, repeats, fluent, understands). Oriented. Attentive. Age-appropriate behavior.
- Laterality: Eye: –. Hand: –. Foot: –.
- Cranial nerves: Normal confrontation visual field. Normal visual acuity. Fundus of eye/red reflex normal. Pupils equal round reactive to light. Ocular pursuit and EOM –. Hirschberg –. Cover-uncover –. Remaining cranial nerves –.
- Motor system: Strength 5/5 in upper and lower extremities. Muscle stretch reflexes present and symmetrical. Normal muscle tone. Normal movements. Bilateral flexor CPR.
- Normal sensory system.
- Coordination: Normal finger-to-nose maneuver. Normal heel-to-shin. Normal Steward-Holmes. Normal gait.