ONLINE

Neurological Exam

Use our neurological exam for reference or for when you're in the field. Answer the questions, and when you're finished, keep track of the results by emailing the report to yourself.

If you haven't used the interactive EPM Diagnostic Tool, click here.

Mental Status

Alert and responsive
Lethargic
Stuporous
Semi-comatose
Comatose
Delirious

Behavior

Behavior change
Compulsive yawning
Compulsive circling
Which direction? right    left
Head Pressing
Seizures

Eyes

Ophthalmic Exam
Left
Right
Vision
Left
Right
Menace
Left
Right
Pupil size/symmetry
Left
Right
Pupillary light response
Left
Right
Horner’s syndrome
Left
Right
Strabismus
Left
Right
Eye drop
Left
Right
Physiologic nystagmus
Left
Right
Resting nystagmus
Left
Right
Positional nystagmus
Left
Right

Face

Sensationxxiii
Left
Right
Muscle mass, jaw tone
Left
Right
Facial expression
Left
Right
Palpebral reflex
Left
Right

Hearing

Left
Right

Tongue/Pharynx/Larynx

Muscle tone, mass
Left
Right
Swallow
Left
Right

Body Evaluation

Cervicofacial reflex
Left
Right
Cutaneous trunci
Left
Right
Perineal sensation
Left
Right
Tail tone
Left
Right
Anal tone
Left
Right
Areas of abnormal sweating
Left
Right
Slap test/Scope
Left
Right
Neck flexion
Left
Right
Neck muscle mass
Left
Right
Forelimb muscle mass
Left
Right
Hindlimb muscle mass
Left
Right
Epaxial muscle mass
Left
Right
Forelimb posture
Left
Right
Hindlimb posture
Left
Right
Forelimb hoofwear
Left
Right
Hindlimb hoofwear
Left
Right

Gait Evaluation (at walk)

Truncal sway
Toe dragging
Inconsistent limb placement
Inconsistent stride length
Dysmetria
Limb interference
Standing tail pull
Walking tail pull
Circling left (counterclockwise)
Circumduction
Toe dragging
Interference/ Crossing over hindlimbs
Pivoting
Circling right (clockwise)
Circumduction
Toe dragging
Interference/ Crossing over hindlimbs
Pivoting
Backing
Foot dragging
Pacing
Basewide limb placement
Head elevation
Serpentine
Hill/Curb
Blindfold
Hopping

Ataxia Grade

Neuroanatomical Localization

Finalize Exam

History

Onset, progression, diagnostics performed, response to any treatments

Physical Exam
Differential Diagnosis
Diagnostic Plan
Treatment Plan
Email your Neurological Exam results

Enter the email to which you would like to send the exam.

By providing my email address, I agree to receive special offers and information from Boehringer Ingelheim. NOTE: Boehringer Ingelheim respects your privacy. We will not share, sell or rent the information you provide on this form.

You will receive your completed neurological exam shortly. Thank you.