General:  This is a well-developed, well-nourished, in no acute distress.  
HEENT:  Normocephalic, atraumatic. Pharynx is without erythema or exudates.  
Neck exam:  No carotid bruits.  Strength is 5/5 with flexion and extension.  
Lungs:  Clear to auscultation bilaterally.  
Cardiovascular:  Regular rate and rhythm, without murmurs, rubs or gallops.  

Neurological exam:  
Mental status:  The patient is alert and oriented to person, place and time.  Speech is fluent. Follows commands well and gives a good history.  
Cranial nerves II through XII are intact bilaterally:  
 -Visual fields are full to confrontation.  
 -Pupils are equally round, and reactive to light and accommodation.  
 -Extraocular movements are intact.  
 -No ptosis.  
 -Facial sensation is intact bilaterally.
 -Normal muscles of mastication and facial expression.  
 -Hearing is intact to finger rub bilaterally.  
 -Palate elevates symmetrically.
 -Sternocleidomastoid and trapezius strength is 5/5 bilaterally.  
 -Tongue protrudes midline without atrophy or fasciculations.  
Motor exam:  Normal strength, tone and bulk in all 4 extremities.  Pronator drift is absent. 5/5 strength and FROM all 4 extremities in flexion and extension
Sensory exam:  
 -Normal light touch and proprioception in all 4 extremities.  
 -Romberg sign is absent.  
Coordination exam:  
 -Normal rapid alternating movements, finger-to-nose and heel-to-shin
test bilaterally.  
 -Gait:  Normal stride, arm swing, turns.  
Reflexes:  2+ in the biceps, triceps and patellae bilaterally.