Introduces self
0
1

Confirms name & age of patient
0
1

Explains & gains consent
0
1

Checks pain/numbness/paraesthesia/handedness
0
1

Exposes patient from waist down
0
1

General inspection for walking aids, deformities, asymmetries, resting tremor, dyskinesia, ulcers
0
1

Closer inspection for fasciculations, cafe au lait spots, scars, wasting
0
1

Assesses light touch (comparing both sides and comparing with sternum) for L1, L2
0
1

Assesses light touch for L3, L4
0
1

Assesses light touch for L5, S1, S2
0
1

Maps out any abnormality
0
1

Offers to test S3, S4
0
1

Assesses or offers sharp touch with neurotip over L1, L2, L3
0
1

Assesses or offers sharp touch with neurotip over L4, L5, S1, S2
0
1

Maps out any abnormality
0
1

Vibration sense on big toe. Ask patient to report when vibration stops before stopping it manually. Moves proximally if absent.
0
1

Tests proprioception in big toe moving proximally if absent
0
1

Conduct Romberg's test
0
1

Offers to test 2 point discrimination, inattention and temperature with hot/cold rods
0
1

Thanks patient and offers help to redress
0
1

Washes hands
0
1

Requests full neurological exam
0
1

Summarises appropriately with only key findings
0
1

Offers appropriate differential diagnoses
0
1

Patient global score
0
1
2
Potential differentials
  • Bilateral distal sensory loss (glove and stocking distribution)
    • Diabetes/B12 and folate/Drugs etc.