سرگیجه ➖
گوش درد ➖
کاهش قدرت شنوایی ➖
درد چشم ➖
کاهش قدرت بینایی ➖
ارتوپنه ➖
PND ➖
دیس‌فاژی ➖
گزگز انتهاها ➕
ادم انتهاها ➖
سیانوز محیطی ➖
ضعف عضلات ➕
Appetite change : yes
History of palpations : yes sometimes
🚑Motor
- Weakness in left side : yes
Left Upper limb > left lower limb
- Difficulty holding objects? Incapable
- Trouble walking or imbalance? Yes
Generalized muscle weakness : No
🚑Sensory
Numbness or tingling? Distal extremities -toes up to foot’s wrist
🚑Speech
- Slurred speech? Partially
- Word-finding difficulty? No
- Trouble understanding speech? No
Vision
- Blurred vision? No
- Double vision? No
- Loss of vision in one eye? No
- Loss of half of visual field? No
- Vertigo? No
- Dysphagia? No
- Dysarthria?No
- Ataxia? Bed rest
- Sudden severe headache?No
- Jerking movements? No
- Loss of consciousness? No
- Tongue biting? No
- Postictal confusion? No
- Recent MI? No

فشار سیستولی: 110
فشار دیاستولی: 70
دما: 37.
ضربان قلب: 80
نرخ تنفس: 16
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Cranial Nerve Examination
🧠 CN I
‏CN I – Olfactory
‏Smell grossly intact by history , verbally asked and confirmed .
🧠 CN II
‏ visual acuity : Able to identify fingers at 6 meters
‏Visual fields by confrontation: Full ,test was performed by using a
- Pupils : PERRLA
🧠CN III, IV, VI
- Extraocular movements
- Diplopia
‏CN III, IV, VI – Oculomotor / Trochlear / Abducens
‏Light reflex: intact
‏Extraocular movements: Full / limited
‏Diplopia present in gaze toward: Right / Left / Up / Down
‏Ptosis: Present / absent
‏Nystagmus: Absent
🧠 CN V
- Facial sensation :
هر دو سمت حس را داشتند و در مقايسه ٢ سمت تفاوتي را بيان نكردند
‏CN V – Trigeminal
‏Facial sensation: Intact bilaterally in V1/V2/V3
‏Masseter / temporalis strength: Normal
‏Jaw deviation: Present
performed ‏Corneal reflex: was not
🧠 CN VII
- Raise eyebrows : ✔️
- Close eyes tightly : ✔️
- Smile : ✔️
- Show teeth: ✔️
- Puff cheeks: ✔️
🧠 CN VIII
‏Hearing to conversation intact
Vertigo : Absent
🧠 CN IX, X
- Uvula deviation ? Idk
- Dysphagia? No
- Voice quality? Changed & Reduced
‏Palate elevation symmetric / asymmetric
‏Uvula : not seen
‏Gag reflex present
‏CN XI – Accessory 🧠
‏Shoulder shrug against resistance: Normal / weak (R/L)
‏SCM strength turning head right: Normal / weak
‏SCM strength turning head left: Normal / weak
🧠
‏CN XII – Hypoglossal
‏Tongue midline / deviated to ___
‏Atrophy / fasciculation absent / present
- Tongue deviation : weak deviation
---
🛵 Motor Examination
‏ Examination
‏Inspection:
‏No atrophy
‏Lower limbs
‏No atrophy
‏Tone (Passive movement)
‏Right upper limb: Normal / Spastic / /
‏Left upper limb: / Atone
‏Right lower limb: Normal /
‏Left lower limb: atone
‏Reflexes
‏Reflex Right Left
‏Biceps
‏Triceps
‏Brachioradialis
‏Knee
‏Ankle
‏Plantar response: Flexor / Extensor (Babinski)
Right F : plantar flexion
Left F : Positive
---
‏4. Sensory Examination
‏Upper Limb (proximal & distal bilaterally)
‏Light touch: Intact /
‏Pinprick (pain): Intact / reduced
‏Vibration: Intact / reduced
‏Position sense: Intact / reduced
‏Lower Limb (proximal & distal bilaterally)
‏Light touch: Intact /
‏Pinprick: Intact /
‏Vibration: Intact /
‏Position sense: Intact /
تست های finger to nose و heel to knee و heel to shin سمت راست هم‌نرمال بود
Power :
Left upper limb: 0/5
Left lower limb : 2/5
Right upper limb: 5/5
Left lower limb : 5/5