Intro to Neuro Flashcards
What does a hemiplegic gait look like
Affected leg is held extended and internal rotated
Foot is inverted and plantar flexed
Leg circumducts at the hip
What does a diplegia gait look like
slow and stiff with legs crossing in front of each other(scissoring)
often associated with cerebral palsy
What does a cerebellar ataxic gait look like
Wide-based and may be associated with staggering/reeling as in drunkness
What is a sensory ataxic gate
wide based
feet slap to the floor
Patient may watch their feet
What is a neuropathic or stoppage gait
inability to dorsiflex the foot
results in exaggerated elevation of hip/knee
What is a dystrophic gait
pelvic muscle weakness that produces a lordotic/waddling gait
What is a Parkinson’s gait
flexed posture
starts slow
small steps w/ shuffling
What is a choreic gait
Jerky and lurching
-falls are rare
What is an apraxic gait
difficulty initiating walking
once walking gait is slow/ shuffling
*no difficulty w/ leg movements when not bearing any weight
What is an antalgic gait
favoring one leg over the other
What should opening CSF pressure be
7-18cm
What should glucose in the CSF measure
50-80
What should total protein in the CSF be
15-60
What should cell count be in the CSF
0-5 WBC only
When should an LP be preformed
concern for meningitis
Suspected SAH
Unexplained seizures
IT chemo
AAA repare
myelogram
Contraindications for LPs
Infection near puncture site
access or tumor
anticoagulation
thrombocytopenia
complete spinal block
non-communicatinh hydrocephalus
What labs should be ordered with a stroke
CBC
Inflammatory markers
Serum. glucose
Lipids
