CLIN SKILLS: PNS Systems Review

Question 1

4 components to PNS systems review

Answer 1

• brain
• meninges
• sensory
• motor

Question 2

PNS systems review - brain

Answer 2

• headaches?
• Dizziness/vertigo: have you felt light headed or like the room is spinning?
• Head injury? LOC?
• Altered cognition/drowsiness: had any difficulties thinking e.g. feeling confused/drowsy?
• Syncope: have you ever fainted?
• Seizures (involuntary loss of movement control)?

Question 3

follow up questions for seizures (PNS systems review)

Answer 3

• did anyone witness it?
• what happened?
• has it happened before? if so, how often?
• trigger?

Question 4

follow up questions for syncope (PNS systems review)

Answer 4

• circumstances
• any trigger

Question 5

follow up questions for head injury/LOC (PNS systems review)

Answer 5

• if there was LOC, how long was it for?
• any issues w/ cognition afterwards?

Question 6

PNS systems review - meninges

Answer 6

• neck stiffness: any neck stiffness?
• photophobia: any discomfort or sensitivity to light?

Question 7

PNS systems review - sensory

Answer 7

• any disturbances in vision, hearing, taste or smell?
• face, neck or back pain
• paraesthesia/anaesthesia: have you had any numbness, tingling or altered sensation? what does it feel like? which part of the body?

Question 8

PNS systems review - motor

Answer 8

• weakness: any weakness in your face, arms or legs? Which side of the body?
• Abnormal movements: tremors, twitching, stiffness or rigidity when moving arms or legs?
• Gait problems: any changes or issues w/ walking? Describe it
• Disturbance of sphincter control: any issues going to the toilet?
• Speech or swallowing disturbances?