 Good morning. Are you having any pain? Yeah One a escort is a zero because he was alert and answered my questions. Can you tell me what the month is? And can you tell me how old you are? Ashes 1b was scored as a 2 because this patient answered both questions incorrectly Can you close your eyes? Good now open your eyes Can you open your eyes? Good, okay. I'm just gonna get your arm here. Can you give me a big squeeze here? Good and let go Can you let go? Very good 1c would be scored as a zero because he was both able to open and close his fist as well as open and close his eyes Okay, I'm gonna check how your eyes are moving now. Okay. Can you look right at me? Can you use your eyes to look at me? Good. Just follow my eyes. Follow my face with your eyes, okay? Just look right at me. Follow me. See me? Look right at my face Follow me. Follow me all the way over here Follow me all the way to the left your right side all the way over here. You follow me all the way over here That's it. Very good. Very good 2 was scored as a zero because he was able to look to extremes of gaze horizontally Can you look right at my nose? Look right at my nose. I'm gonna be testing your peripheral vision. How many fingers do you see? Three Okay, you look right at my nose How many fingers do you see? Okay, try to concentrate right on my nose. How many fingers? You're doing just fine. Look right at my nose. You see any fingers? How many fingers do you see? Two Okay, right at my nose. How many fingers? Three Okay, how many fingers do you see? How many fingers do you see? Look right at my nose. See any fingers? How many do you see? Okay Look right at my nose. Keep looking at my nose. Keep looking right at my nose Okay, I'm gonna try the other eye, okay? Okay, look right at my nose Look right at my nose Three was scored as a zero because he was able to blink to thread in all four visual quadrants This patient demonstrates the difficulty of testing visual fields and in a phasic patient. Show me your teeth Good close your eyes tightly Okay, you make your eyebrows go up you can open your eyes make your eyebrows go up really big Can you open your eyes? Okay, good Four is scored as a two because he shows a clear-cut upper motor neuron facial weakness Can you lift up this arm off the bed? Hold it up here. Just really extend it out there. Good. We're gonna do this for the count of ten, okay? one two three four five six seven eight nine Ten Okay, you can relax that one down Five a was scored as a two because the patient's arm eventually hit the bed. I'm gonna extend this arm straight out Try your best. That's it. Excellent. Just hold it there for a count of ten. Okay, hold it right up there one two three four five six seven eight nine Ten Good, relax that hand down five B is scored as a one Now I want you to lift up your left leg. I'm just gonna help you here a little bit Okay, I'm just gonna hold it for the count of five. Okay I'm gonna let go one two Okay Can you move your left leg? Six a was scored as a three. This was not scored as a four because some movement was possible Okay, I'm gonna help you lifting this up. Lift it up in the air and try to hold it here the best you can. Okay One two Now let's try the right leg Six B was also scored as a three This was not scored as a four because some proximal movement was possible. Can you touch my finger here? Can you try to touch my finger? That's it. Excellent. Now touch your nose. Touch your nose Good and touch my finger again touch my finger Can you touch my finger? That's it. Come and touch my finger. Okay, let's try the other arm. Okay, you can relax this one You try with this one. You touch my finger with your finger Can you reach my finger with your finger? You touch my finger here? Can you touch your nose with this finger? Good good try and touch my finger. That's it. That's it. Good. Keep going Okay, we're gonna do the same thing with the legs now Just want to have you run your heel up and down your shin, and I'm gonna help you a little bit here Can you run your heel up and down your shin? Okay, we'll try the other side. Okay Just gonna move this leg Bend your knee a little bit That hurt Can you run your heel up and down your shin? Seven was scored as a zero. Even though this patient is weak, he scored a zero because no a tax he was demonstrated Okay, I'm just gonna see if you can feel this sensation here Let's try the other side. Okay I'm gonna try on the foot here. Okay Eight was scored as a zero because he withdrew from painful stimuli on both sides I'm gonna put on your glasses here so that you can see Can you describe what's going on in this picture? I'll try this one. Can you name this? What is this? Since you're having some problems naming these verbally, let's see if you can do any writing here I'm gonna give you this pen. Can you hold on to the pen? And here we have a piece of paper to write with Can you write what what this object is here? Can you tell me by writing what this is? Nine is scored as a two Three is a reserve for patients who are mute and unable to follow single-step commands Can you read this? Ten is scored as a two due to his unintelligible speech Want you to close your eyes? And tell me if I'm touching on the right side the left side or both. Okay. Can you feel me touching you? Yes Is it the right side or the left side or both? Okay, you can open your eyes Eleven is scored as a zero despite his aphasia. He was able to attend to both sides This patient's total NIH stroke scale score is a 17