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. He was able to follow certain commands. 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. Right nasal labial flattening with only very slight right facial weakness but able to puff cheeks out, left greater than right. Gag reflux is present.