NE.txt

CC: Temporal headache for 7 days.
    Location:     Radiation:
    Pattern: Thrombbing
    Aura : Lightening (-), zigzag (-)
    Provocating factors: cold weather(-), postual change(-)
    Reliving factores: rest(+),lying(+)

[Migrain Criteria]
    5 or more attacks \
    4 hours to 3 days in duration \
    2 or more of following
      :unilateral location
      :pulsating quality
      :moderate to severe pain
      :aggrevation by 
      :avoidance of routine physical activity
    1 of nausea, vomiting, photophobia, phonophobia

NE:
General appearance: chronic illness
Conscious: Clear, E4V5M6
Orientation: Normal
Neck : supple, no stiffiness
Cranial N: 
CN2: Fundus: normal, no papillary edema
     VA, VF : Normal
CV3,4,6 : EOM: Normal
CN5: Sensory: Normal Motor: normal
CN7: Sensory: Normal Motor: Normal
CN8 : Hearing : Normal
      Nystagmus :Nil
CN9,10: Dysphagia, Dysarthria : Nil
CN11 : normal
CN12 : Tongue position:Normal

Musle power : Upper limb proximal: 5  distal : 5
              Lower limb proximal: 5  distal : 5
DTR         : Upper limb proximal: ++  distal : ++
              Lower limb proximal: ++  distal : ++
Spaticity : Nil
Barbinski sign: -/-
Sensory : pin-prick: Normal  Vibration: Normal
Cerebellar sign: F-N-F: normal ataxia : Nil 
EPS: Tremor: Nil     Regidity; Nil     bradykinesia:nil
Dystonia: Nil
Gait: Normal