Rt Lt

2+ Absent

Musculoskeletal. No joint deformities. Good range of motion in hands, wrists, elbows, shoulders, spine, hips, knees, ankles.

Neurologic. Mental Status: Tense but alert and cooperative. Thought coherent. Oriented to person, place, and time. Cranial Nerves. II-XII intact. Motor: Good muscle bulk and tone. Strength 5/5 throughout (see p._for grading system).

Rapid alternating movements (RAMs), point-to-point movements intact. Gait stable, fluid. Sensory: Pinprick, light touch, position sense, vibration, and stereog-nosis intact. Romberg negative. Reflexes: Two methods of recording may be used, J depending upon personal preference: a tabular form or a stick picture diagram, as shown below and at right. 2+ = brisk, or normal; see p._for grading system.

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