loki haup souprice quiz 1 Flashcards
usual questions asked for neurological diagnosis
is there a neuro prob - s/sx or evidenced basend on S and O
where is the prob - level, laterality and localize
what is the prob - disease it self
classic triad of meningitis
fever, headache, meningismus
usual s/sx of meningeal irritation
head ache and vomiting with
nuchal rigidity - pain in passive neck flex
(+) brudzinski - PT flex head and hip and knee flexes
(+) kernig - PT flex hip and ext knee then pt has pain and flexes neck
usual s/sx of inc ICP
head and vomiting with
papilledema
cushing’s triad - inc BP, bradycardia and bradypnea
diplopia c internal quint - LR6 palsy
deterioration of level of conciousness
usual s/sx of focal neurologic deficits
disturbance in higher intellectual func
CN deficits
weakness of paralysis of ex
incoordinaiton and poor equilib
reflex assym or pathologicl reflex
sensory impairment in ex and trunk
compare UMNL and LMNL in terms of weakness
UMN: muscle below level
LMN: muscle at level
compare UMNL and LMNL in terms of atrophy
UMN: late onsent
LMN: early onset
compare UMNL and LMNL in terms of fasciculations
UMN: -
LMN: +
compare UMNL and LMNL in terms of tone
UMN: inc
LMN: dec
compare UMNL and LMNL in terms of superficial reflex
UMN: -
LMN: -
compare UMNL and LMNL in terms of DTR
UMN: inc
LMN: dec or absent
compare UMNL and LMNL in terms of pathological reflex
UMN: + babinski
LMN: -
s/sx of cerebrum lesion
memory impairment
emo or behave vhanges
lang disturbance
intellectual impairment
seizure
contralat hemiapresis, hemisensory deficitis, heminaopsia
s/sx of brainstem/cerebellum lesion
CN defecits
s/sx of brainstem lesion
ipsi CN deficits
contrat hemiparesis and babinski
ipsi limb ataxia
internuclear ophthalmoplegia - MLF syndrome
s/sx of motor pathway lesion
weakness of paralysis of ex
s/sx of cerebellar lesion
vermis - truncal ataxia
hemispheres - ipsi limb ataxia
or both
s/sx of spinal cord lesion
normal above lesion
incontinence
loss of sensory below lesion
SC dysfunction if cervical
both ex and trunk
inc DTR
+ babinski
+ hoffmans