Neuro Assessment Flashcards
What ate the common symptoms for nervous system assessment
- headache
- mental status change
- dizziness, vertigo, syncope
- numbness or loss of sensation
- deficits of 5 senses
It is the most common symptom
Headache
Headache pain may be mild or severe, acute or chronic, localized or generalized
_____ of HA - benign in nature (muscle contraction or vascular)
______ - pathology (genes)
may be a symptom of a serious medical problem
- 90
- 10
early indication of a change in neurologic status.
MENTAL STATUS CHANGE
Mental status change begin slowly as ______, ________, ________
- forgetfulness
- memory loss
- inability to concentrate
What are the causes of mental status change
-neurologic problems,
- fluid & electrolyte imbalance,
-hypoxia,
- low perfusion state,
- nutritional deficiencies,
-infections,
- renal & liver disease,
- hyper or hypothermia,
- trauma,
- medications, & drug & alcohol abuse
It is the fainting sensation
Dizziness
Type of vertigo where the surrounding is spinning around
Objective vertigo
Type of vertigo where the person is spinning around
Subjective vertigo
Dizziness can lead to _____
Syncope
It is the temporary loss of consciousness. “Blacked out” “had a spell”
Syncope
It is the numbing or tingling sensation
Paresthesia
What are the causes of paresthesia
- diabetes
- neurologic
- metabolic
- CV
- renal
- inflammatory
Smell - _____
Visual acuity, pupillary constriction, extraocular movement (EOM)
-_______; _______;_______; _______
Taste -_______;_______
Hearing -______
Touch -________
- 1 Olfactory
- 2 optic, 3 oculomotor, 4 trochlear, 6 abducens
- 7 facial, 9 glossopharyngeal
- 8 acoustic
- 5 trigeminal
What are the 7 types of examination for the neurological system
- level of functioning
- mental status
- sensation
- cranial nerves
- motor function
- cerebral function
- reflexes
What are the areas focused on level of functioning
- level of consciousness
- assessing orientation
- memory
Terms used to describe the level of consciousness
- alert
- lethargic
- stuporous
- comatose
_______- tollows commands in a timely fashion
______ Appears drowsy, may drift to sleep
________- requires vigorous stimulation (shaking, shouting) for a response
________ - does not respond appropriately to either verbal or painful stimuli
Alter
Lethargic
Stuporous
Comatose
What is the scale used for comatose pt
Glasgow coma scale
_______ abnormal position of the arms with legs extended & internally rotated & feet plantar flexed
ominous sign (poor prognosis)
Arms are flexed chest & hands are clenched & internally rotated
• Decorticate (flexion posturing)
Arms are extended the hands are clenched & hyperpronated
• Decerebrate (extension posturing)
What are asked in assessing the orientation of a person
- time
- place
- person
What must be checked during mental status
- Known brain lesion(stroke, tumor, trauma)
- Suspected brain lesion(new seizures, headaches)
- Memory deficits
- Confusion
- Vague Behavioral complaints(by significant others)
- Aphasia - inability to communicate
- Irritability
- Emotional lability - rapid exaggerated changes in mood
Assessing the sensation is divided into 3 sections what are those
- exteroceptive sensation
- proprioceptive sensation
- cortical sensation
• superficial sensations that originate in the skin and mucuos membranes.
Ex_______, _______ and________
- exteroceptive sensation
- light touch, superficial pain, temp
Assessment of motor function involves assessing for______,________,________,_________, ________
- muscle size
- muscle strength
- muscle tone
- muscle coordination
- gait and movement
The __________ is performed in patients with neurological signs or symptoms of cerebellar pathology, for example: dizziness, loss of balance, or poor co-ordination.
cerebellar examination
_______ are performed as part of a neurological exam, either a mini-exam done to quickly confirm integrity of the ______ or a more complete exam performed to diagnose the presence and location of spinal cord injury or neuromuscular disease
- Reflex tests
- spinal cord