Examinations
View all of the results of the patient examination (click on each system below to view the results).
General Examination
Observations
- Alert, unable to speak, overweight (BMI 32).
- Not pale or sweaty.
- Examined lying on a hospital trolley.
Cardiovascular System
- Pulse 90 regular.
- BP 172/105.
- Peripheral pulses present.
- No carotid bruit.
- Heart sounds I+II, no added sounds.
Respiratory System
- No abnormality detected
Gastrointestinal System
- No abnormality detected
Genitourinary System
- No abnormality detected
Mental/psychiatric exam
- Examination not performed
Musculoskeletal system
- No abnormality detected
Nervous system
Dysphasic. Is able to understand speech but is unable to complete a sentence (expressive dysphasia). Cannot name simple objects such as pen, tie, book.
Cranial nerves
- I – normal
- II – PEARL, right homonymous hemianopia, Grade II hypertensive changes in fundi
- III, IV, VI – slight gaze deviation to the left
- V – appears intact
- VII – right UMN palsy
- VIII – normal
- IX-XII – good palatal elevation without deviation and good tongue movements
Limb examination
Tone is decreased in a flaccid fashion in the right arm and to a lesser extend the right leg. Power graded according to the MRC grade (see below)
MEDICAL RESEARCH COUNCIL GRADING FOR POWER
- 5 Normal power
- 4 Diminished power
- 3 Movement against gravity
- 2 Movement with gravity eliminated
- 1 Flicker when attempting movement
- 0 No movement
| Right | Left | |
| Shoulder abduction | 3 | 5 |
| Elbow flexion | 4 | 5 |
| Elbow extension | 3 | 5 |
| Wrist extension | 2 | 5 |
| Finger extension | 2 | 5 |
| Finger flexion | 4 | 5 |
| Right | Left | |
| Hip flexion | 4 | 5 |
| Hip extensionn | 5 | 5 |
| Knee flexion | 4 | 5 |
| Knee extension | 4 | 5 |
| Ankle dorsiflexion | 4 | 5 |
| Ankle plantarflexion | 5 | 5 |
Gait: walks with an obvious right hemiplegic gait
Sensation: no obvious deficit noted
Reticuloendothelial system
- No abnormality detected
Urinalysis
- No glucose, blood, protein or nitrites
Other
Nil