NEUROLOGICAL EXAMINATION OF GOATSSTUDY: DATE:

ANIMAL NO: FARM OF ORIGIN:

BREED:SEX: FARM: BLOCK: PEN:

CLINICIAN: RECORDED BY: REASON FOR EXAMINATION:

( if normal ,  if not able to observe, describe in detail if abnormal)

1. Posture when approached / Standing  Sitting sternal  other:
2. Posture / Head Carriage
3.Abnormal Movements /
Tremors / Fasciculations / None  / Yes  (describe):
4. Mental Status
5. Behaviour / Resting (left alone): / Approached: / Handled:
6. Hand clap

FACE / NECK

/ Symmetry (tick if all normal, or describe) /

Left

/

Right

7.Optic nerve / Ocular fundus
8. Light reaction
9. Eye position (strabismus?)
10. Eyelids / 11.Third Eyelids
12. Menace response
13. Corneal reflex
14. Ears (position/reaction to touch)
15. Blink (lateral/medial canthus)
16. Lips (sym./reaction to touch)
17. Nose (movements/touch)
18. Eye movements
19. Blinding to side
20. Salivation, dribbling
21. Jaw position / tone /

Tongue tone

22. Swallow (on palpation)
23. Scratch / Nibble Test
Magnitude/duration/onset:
Weak Clear Exaggerated
Delayed Prolonged
Other / details: /

Negative  / Inconclusive  / Inconsistent  / Positive  / Unable to assess 

Area / Reaction

/

Nibble/Lick

/

Head mov

/

Body mov

/

Other react

/

Sensitive

Cranial thoracic area

Middle thoracic area
Thoracolumbar
Lumbar area
Sacral area
Base of the tail
Shoulder
Side thorax
Side abdomen
Thigh
24. Cutaneous trunci
25.Body condition / Body condition score:
26.Anal and tail tone
27.Withdrawal reflex
28.Righting reaction (symmetry)
29.Behaviour blindfolded

GAIT

30.Walking (amount/willingness)
31.Running (amount/ willingness)
32.Slipping / No  / Yes  (# of times, describe):
No  / Yes  (# of times, describe):
No  / Yes  (# of times, describe):
33.Falling
34.Collides into gates/ walls

STUDY NUMBER:ANIMAL NO: DATE:

OVERALLGAIT:
35.Stiff / lame
36.Neurological
37.Other on gait / No  / Yes  – describe:
No  / May be  / Yes – describe:
No / Yes  – describe:
52.Limb adduction - abduction
53.Side - push

38.Other On Behaviour / Activity (tooth grinding, rubbing):

39.Skin lesions: No  / Yes  - list areas and types/ draw below

40.Wool - hair loss: No  / Yes  - list areas and types/ draw below

41.Other Fleece change(s):No  / Yes  - list areas and types:

also draw below (soiling/ changed fleece colour/ quality)

42.Cud Soiling: No  / Yes  :nostrils / chin / other: Cud dribbling: No  / Yes  :episodic / permanent, other:

43.Other / more on #:

GENERAL EXAMINATION (go back and complete 1-6, then verify that all boxes have entries after this step)

45.Temperature:48 Lymph nodes:51 Additional findings:

46.Heart rate:49 Dehydrated?

47 Ruminal contractions:50 Mucous membranes:.

.44STATUS WITH REGARDS TO TSE & OTHER DISEASES:
- no evidence of TSE  ? Normal Animal  / Other abnormality (ies) 
- suspect TSE  severity of case: early  - established  - advanced 
 list suggestive signs (by their # if many):
- inconclusive with regards to TSE  , detail:
- signs suggesting another neurological illness 
- signs suggesting another (non neurological) illness) No  / Yes  - Detail:
HISTORY:

ACTION

/

DATE COMPLETED

/

RESULT

Still photo: No  / Yes  (describe):
Video: No  / Yes  (describe):
Skin scraping: No  / Yes  (describe):
Other (describe):
______