Neuro Flashcards
GCS motor
6- obeyed commands 5- localises to pain 4- normal flexion to pain 3- abnormal flexion to pain 2- extension to pain 1- no response
Power
Shoulder to fingers
Hips to toe
Include pronator drift UL
Reflexes - 6
Bicep, tricep, supinator
Ankle, knee
Plantar response
Cranial nerves
Optic Olfactory Oculomotor Trochlear Trigeminal Abducens Facial Vestibulococclear Glossopharyngeal Vagus Accessory Hypoglossal
Facial nerve
Screw up eyes
Smiles
Puff out cheeks and press against
Taste
Hypoglossal
Tongue for fasciculations, wasting or deformity
Movement of tongue
Speech
Comms questions- 10
4 head
3 monkeys
3 body
Headaches Cognitive impairment Fits, faints, funny spells Dizzy/vertigo Vision Hearing Speech disturbances Pins and needles Balance Weakness
Sensation - 4
Light Pinprick Vibration sense Joint position Babinski
List for examinations - 6
Tone Power Coordination Reflexes Sensation Gait
Trigeminal
Cotton wool and neurotip to forehead, cheeks and lower jaw
Palpate masseter and clench teeth
Open jaw against muscles
Corneal reflex
Limbs inspection
Muscle atrophy Fasciculation Skeletal deformity Scars Tremors Involuntary movements
Oculomotor
Pupil abnormality
Ptosis
Abnormal gaze
H test
Tone
Hypo or hypertonic
Clonus LL
Fundoscopy
Fix gaze on distant object 0 lens Red reflex Correct + or - Optic disc shape, edges, vessels Arteries/veins Colour retina Haemorrhages Exudate Check macula by asking patient to look into light
GCS eye
4- spontaneous
3- to speech
2- to pain
1- no response
Accessory
Shrug shoulders and feel
Turn head to each side and resist
Glossopharyngeal and vagus
Look inside mouth
Cough
Gag reflex
Vestibulocochlear
Nystagmus Balance Hearing- whisper test Rinnies Webbers
GCS verbal response
5- orientated 4- confused - sentences but no disorientated 3- verbalises- words no sentances 2- grunts or groans 1- no words
Coordination - 4
Sign of tremor
Finger-nose test
Dysdiadochokinesis
Heel shin test
Optic
Sneller chart Size and shape of pupil Pupillary response to light Ipsilateral and contralateral Pupilary reflex Visual fields Visual inattention- finger waggles Accommodation- pen Fundoscopy
