1. NERVOUS SYSYTEM
HISTORY
• HEADACHE
- frequency
- duration
- severity
- character(aching, throbbing)
- associated features(vomiting, visual disturbance)
- site
- relieving factor(analgesic)
- precipiting factors(stopping,coughing)
- timing(ex: morning)
- onset(sudden, gradual)
• VISUAL DISORDER
- frequency
- duration
- impairment
a) one/both eyes
b) total/partial visual loss
c) whole/partial field loss
- diplopia (gaze direction where maximal)
- hallucination
a) false sensations without stimulus
b) formed-real images
c) unformed-shapes and colours
- illusions-stimulus that is misperceived
- precipitating factor
- onset
• LOSS OF CONCIOUSNESS
- frequency
- onset
- duration
- tongue biting, incontinence limb twitching
- alcohol /drug abuse
- head injury
- c/v or respiratory symptoms
- precipitating factors
• SPEECH DISORDER
- frequency
- onset
- duration
- difficulty in articulation
- difficulty in expression
- difficulty in understanding

2. • MOTOR DISORDER
- frequency
- onset
- duration
- lack of coordination(balance)
- weakness/fatigue
a) progressive/static
b) distal/proximal
c) painful/painless
- involuntary movement
- relieving factor(ex: rest)
- precipitating factor(ex: walking)
• SENSORY DISORDER
- Frequency
- Onset
- Duration
- Pain
- Numbness/tingling
- Site
- Relieving factor ( ex: rest)
- Precipitating factors (ex: walking, neck movement)
• SPHINTER DISORDER
- frequency
- onset
- duration
- anal
- bladder
- difficulty in control
a) incontinence
b) retention
• LOWER CRANIAL DISORDER
- frequency
- onset
- duration
- deafness/tinnitus – uni/bilateral
- vertigo – rotation of surroundings
- balance/staggering – direction
- swallowing difficulty
- voice change
- precipitating factors (ex: neck movement, head position)frequency
• MENTAL DISORDER
- duration
- onset
- memory
- intelligence
- personality
- behavior

3. EXAMINATION
• TEMPERATURE
• BLOOD PRESSURE
• NECK STIFFNESS
• PULSE IRREGULARITY
• CAROTID BRUIT
• CARDIAC MURMUR
• CYANOSIS/RESPIRATORY INSUFFICIENCY
• EVIDENCE OF WEIGHT LOSS
• BREAST LUMPS
• LYMPHADENOPATHY
• HEPATIC AND SPLENIC ENLARGEMENT
• PROSTATIC IRREGULARITY
• SEPTIC SOURCE
• SKIN MARKS
• ANTERIOR FONTANELLE
• HEAD CIRCUMFERENCE