2.22 Neuro Exam Flashcards
1
Q
Things to consider when starting a neuro exam
A
- organic vs. nonorganic
- localized vs. diffuse
- etiology
- history
2
Q
organic
A
- some structure has been damaged
- directly involved nervous system
3
Q
organic: categories
A
- stroke
- SCI
- TBI
- GBS
- TOS
- etc.
4
Q
stroke: cardio vs. neuro
A
- cardiovascular injury that creates neurological symptoms
- most people classify as a neuro problem
5
Q
nonorganic
A
- indirect
- can’t find a structural source of the problem
- based on functional limitations
6
Q
nonorganic: categories
A
- CPRS
- PTSD (conversion disorder)
- Munchausen’s
- Munchausen’s by proxy
- malingerer
7
Q
CPRS and organic/nonorganic
A
typically have some organic issue, their nervous system goes haywire
8
Q
conversion disorder
A
- body can’t deal with something that’s happened
- i.e. military coming back to civilian life
- looks like a stroke
**treated exactly like it’s an organic issue
9
Q
Munchausen’s
A
- pt decides there’s something wrong with them
- decide to get treated for some secondary gain
10
Q
Munchausen’s by proxy
A
a parent keeps saying there’s something wrong with their child so they can get attention
11
Q
malingerer
A
may have started with a true organic injury, but they may be looking for secondary gains
12
Q
localized
A
- makes sense
- has a pattern
- can localize the pain
13
Q
localized: examples
A
- radiculopathy
- neuropathy
- myelopathy
- myopathy
- plexopathy
- encephalopathy
14
Q
localized: radiculopathy
A
nerve root
15
Q
localized: neuropathy
A
peripheral nerve
