Neuro Flashcards
How to test cranial nerve 1
Have client close eyes and occlude one nostril with a finger
Ask the client to identify odours
Repeat with other nostril
What is cranial nerve 2
Optic
How to assess cranial nerve 2
Snellen chart for visual acuity
Check peripheral by confrontation
Check colour vision
What is cranial nerve 3
Occulomotor - controls pupillary constriction , upper eyelid elevation and most eye movement
What is cranial nerve 4
Trochlear
Controls downward and inward eye movement
Hat is cranial nerve 5
Trigeminal
Sensation in the cornea nasal and oral mucosa facial skin as well as mastication
Sensory and motor
What is cranial nerve 6
Abducens
Motor controls lateral eye movement
What is cranial nerve 7
Facial
Sensory and motor
Controls movement of the face and taste sensation
Cranial nerve 8 what is it
Vestibulocochlear
Sensory
Controls hearing and vestibular function
What is cranial nerve 9
Glossopharyngeal
Sensory and motor
Controls swallowing ability sensation in the pharyngeal soft palate and tonsillar mucosa taste perception on the posterior third of the tongue and salvation
What is cranial nerve 10
Vagus
Sensory and motor
Controls swallowing and phonation sensation in the exterior ear’s posterior wall and sensation behind the ear
Controls sensation in the thoracic and abdominal viscera
What is cranial nerve 11
Motor
Controls strength of neck and shoulder muscles
What is cranial nerve 12
Motor
Controls tongue movements involved in swallowing and speech
What is Addison’s disease
Hyposecretion of the adrenal cortex hormones - glucocorticoids and mineralcorticoids
Can be primary or secondary
Fatal if left untreated
Assessment of Addison’s disease
Lethargy fatigue and muscle weakness
GI disturbances
Weight loss
Menstrual changes in women impotence in men
Hypoglycemia hyponatremia
HYPERKALEMIA HYPERCALCEMIA
Hypotension
Hyperpigmentagio of skin - bronzed with primary disease
What is addisonian crisis
Acute adrenal insufficiency life threatening
Can cause HYPONATREMIA HYPERKALEMIA hypoglyclycemia and shock
Assessment of addisonian crisis
Severe headache Severe abdominal leg and lower back pain Generalized weakness Irritability and confusion Severe hypotension Shock
What is cushings disease
Hyper secretion of glucocorticoids from the adrenal cortex
Increased cortisol caused by increased ACTH
Assessment of cushings disease
Generalized muscle wasting and weakness
Moon face Buffalo hump
Truncal obesity with thin extremities supraclavicular fat pads weight gain
Hirstuism
Hyperglycaemia HYPERNATREMIA Hypokalemia HYPOCALCEMIA Hypertension Fragile skin that easily bruises Reddish purple steaks on abdomen and upper thighs
What is conns syndrome
Hyper secretion of the mineralcorticoids- aldosterone from the adrenal cortex of the adrenal gland
What is pheochromocytoma
Catecholamine producing tumour - found in the adrenal medulla but can be found in other locations
What is cranial nerve 1
Olfactory
