I cannot assess orientation or much else for the remainder of the mental status examination. The patient does appear to be very frustrated and is tearful. It's best to be consistent. He can point to the ceiling and to the floor but will not shrug shoulders or stick out tongue. Pupils equal, round and react to light.
Extraocular movements are intact.
Fundi are difficult to assess. Positive corneal reflexes. Blinks to threat from the side bilaterally. Decreased fine touch on the right side of body but on pinprick is sleepy and does not respond to sharp stimuli in any of the extremities. Absent proprioception in the lower extremities.