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Porter’s Annual Neurological Exam



November 7, 2023

While waiting in Dr. Eagleson’s office, we saw Porter’s 1 Year Seizure Free picture hanging on the bulletin board!


Getting back scratches while the nurse inputs his information for Dr. Eagleson
Waiting for Dr. Eagleson

Dr. Eagleson said that overall Porter looked great and did not have any changes from his last exam.

Physical Exam:

  • General: Bright, Alert, Responsive
  • Eyes/Ears/Nose/Throat: No significant findings
  • Heart/Lungs:
    • No murmur detected
    • Lungs clear
    • Strong synchronous pulses
  • Abdomen: No masses found
  • Urogenital / Rectal exam: Within normal limits
  • Peripheral lymph nodes: Within normal limits
  • Integument: diffuse symmetrical alopecia (mainly on extremities)
  • Musculoskeletal:
    • Body Condition Score: 5/9
    • head muscle atrophy

Neurological Exam:

  • Mentation: Bright, Alert, Responsive
  • Gait: Very mild UMN tetraparesis / general proprioceptive deficit ataxia (appears to be drug related)
  • Reflexes:
    • Normal withdrawal in all limbs
    • Normal patella bilaterally
    • Normal perineal reflex
  • Postural Reactions:
    • Very mild delay in hopping in pelvic limbs
    • Normal thoracic limbs
    • Normal placing in all limbs
  • Cutaneous nerves: Normal
  • Cranial neves: Normal
  • Sensory: No pain on spine palpation or neck range of motion
  • Neuroanatomic Localization: Normal exam

Overall Dr. Eagleson was pleased with Porter’s current seizure control so no changes to his medications will be made at this time.

It was recommended that Porter have a CBC and chemistry profile done. Dr. Eagleson was pleased with all the lab results.

Porter will have his Bromide level checked in March of 2024 and see Dr. Eagleson again in November of 2024.

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