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Neuro Assessment

Terms in this set (63)

Frontal Lobe
associated with reasoning, planning, parts of speech, movement, emotions, and problem solving
Parietal Lobe
associated with movement, orientation, recognition, perception of stimuli
Occipital
associated with visual processing
Temporal Lobe
associated with perception and recognition of auditory stimuli, memory, and speech
Spinal Cord
Attached to the brainstem & passes downward within the bony vertebral column
If the spinal cord is transected, there is total loss of sensation & paralysis of muscles below the affected spinal cord level.
The spinal cord is the major conduit of sensory & motor information between the brain & the periphery.
The spinal cord is connected to the periphery by spinal nerves which are part of the peripheral nervous system
Spinal Nerves
31 pairs of spinal nerves
C1 - C8 - Cervical spinal nerves
T1 - T12 - thoracic spinal nerves
L1 - L5 - Lumbar spinal nerves
S1 - S5 - sacral spinal nerves
Coccygeal 1 - sole coccygeal spinal nerve
The ANS is concerned with control of?
visceral functions.
Digestion.
Blood flow.
Temperature regulation.
Reproduction.
Mental Status Exam
Observations of Appearance
Activity level
Behavior
Speech
Attitude toward interviewer
Level of Consciousness
Thought Content
Affect and Mood
Cognition, reality contact, memory
Confidence in information given
Mini Mental Status Exam
Cognitive Function
Orientation
Registration
Recall
Language
Total of 30.
Pneumonic for motor and sensory
Some Say Money Matters But My Brother Says Big Brains Matter Most
Cranial Nerve Assessment
Ptosis (III)
Facial Droop of Asymmetry (VII)
Hoarse Voice (X)
Articulation of Words (V,VII, X, XII)
Abnormal Eye Position (III, IV, VI)
Abnormal or Asymmetrical Pupils (II, III
I and II CN assessment
Olfactory-
not normally tested- smell
Optic-
examine the optic fundi
test visual acuity
screen visual fields by confrontation,
test pupillary reactions to light- PERRLA
III
OCULOMOTOR
Observe for ptosis.
Test Extraocular Movements.
Have patient follow your finger with their eyes and without moving head.
Check gaze in 6 cardinal directions using "cross" or "H" pattern.
Pause during upward and lateral gaze - nystagmus.
Convergence- finger toward bridge of patient's nose
Test pupillary reactions to light.
IV
Trochlear
Test extraocular movements ( inward and downward)
V
Trigeminal.
Test temporal and masseter muscle strength.
Open mouth, then clench teeth- palpate temporal and masseter muscles as this is done.
Test three divisions for pain sensation
Explain what is to be done.
Object to test on forehead, cheeks, and jaw.
"sharp or dull"- if abnormal test for temperature sensation and light touch.
Test the corneal reflex- wisp of cotton to cornea, observe for blink reflex.
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