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Evaluation

Are you evaluating a patient with amyotrophic lateral sclerosis?

Select answer for each functional measure

Hold up head

Chew food

Swallow

Speak

Turn in bed

Sit up

Empty bowel and bladder

Breathing

Cough

Write name

Use buttons or zipper

Feed self

Grip for lifting self

Lift book or tray

Lift fork or pencil

Change arm position

Climb 1 flight of stairs

Walk 1 block

Walk across the room

Walk with assistance

Stand up

Change leg position

Select appropriate answer for findings on physical examination

Stretch reflexes in arms

Stretch reflexes in legs

Jaw jerk

Plantar responses on right

Plantar responses on left

Muscle fasciculations

Muscle wasting in face and tongue

Muscle wasting in arms and shoulders

Muscle wasting in legs and hips

Fatigability

Leg rigidity

Emotional lability

Results

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