ECR Mental Status and Higher Cogntive Function 11.20.12 Flashcards
What are neurologic symptoms to look for (6)
Weakness
Numbness or tingling
Headaches
Tremors
Imbalance
Seizures
Types of neurolgoical illnesses
Dementia (Alzheimer’s) or stroke
Neurodegenerative disease (Huntington’s)
Infections process (Encephalitites/meningities)
Brain tumor (Glioma, meningioma)
Seizure (flappign aorund; petite mal, (
What can be another cause of confusion
hyper/hypoglycemia
diabetes
waht can be antoehr cause of disorientation
medication side effect
waht can cause a change in memory
chronic alcohol abuse
what can cause a change in mood
depreession/ hypothyroidism
What can cause one to behave strangely-
lupud OCD/ Wilson’s disease
What are the components of a neurological exam (5)
- Appearance and behavior
- Speech and language
- Mood
- Thoughts and perceptions
- Cognitive Functions
What do you check for Appearance and Behavior
Level of consiousness
Posture and motor behavior
Dress, grooming and personal hygeine
Facial Expresson
Manner, affect
What do you check for in Appearance and Behavior?
level of consciousness posture and motor behavior dress, grooming/personal hygiene Facial expression manner,affect
What do you check for Speech and Language
Quantity Rate Loudness Articulation Fluency- Word compehension, repetition, naming, reading, comprehension, writing
What is Aphasia?
problems with fluency
Hallucination vs Illusion
Hallucination- thoughts in ABSENCE of stimulus “hearing voices”
Illusion- misinterpretation of stimulus; Paper on floor see as pond of water
What do you look for when testing cognitive function
orientation attention learning and memory general info/fund of knowledge/vocab calculations abstract thinking constructional abillity
Orientaiotn (cognitive)
Person Place Time
What does it mean to have Orienation x 3
awareneess of self, present realities and facts
Person,
Place
Time
How to test attention (cognitive)
- Ability to focus and concentrate
- Digit Span
- Serial 7’s
- W-O-R-L-D
Remote vs recent (learnigna nd memory)
REMOTE- old response
-ask about birthdays, anniversaries, schools attended, or who was teh first president you voted for?
RECENT
-ask about events of the day, weather outside
Registration, immediate recall and short term memory
What are discriminative sensation
ability of sensory cortex to correlate, analyze, and interpret sensations
Stereognosis Graphesthesia 2-pt discrimination point localization extinction
Stereognosis
Stereo=3D
stimulus in hand (batterny)
manipulate in hadn whiel eyes closed
Graphesthesia
close eye
Put # in hand and have him guess
2-pt discrimination
stimulate with paper clip0 one side or 2 sides
Point localization
where ?right arm? which left arm
Extinction
stimulus in one or two palces-
ask where if in 2 places
