Neurologic and Musculoskeletal Physical Exam Flashcards
health promotion and counseling
preventing stroke or TIA
reducing risk of peripheral neuropathy
detecting delirium, dementia, depression
3 important questions as you examine the patient for neurologic system
is mental status intact
are right and left sided findings the same|
if findings are asymmetric or abnormal, do the causative lesions lie in the CNS or the PNS?
5 categories for assessment
mental status
speech
language
cranial nerves
motor system
sensory sytems
reflexes
common or concerning sysmtpoms of the nervous system
headache
dizziness or vertigo
generalized, proximal, or distal weakness
numbness
abnormal or loss of sensations
LOC, syncope, or near syncope
seizures
tremors or involuntary movements
Olfactory nerve summary
I, sensory, smell
optic nerve summary
II, sensory, vision
oculomotor nerve summary
III, motor, movement of eye ball
Trochlear nerve summary
IV, motor, movement of eye ball
Trigeminal nerve summary
V, mixed nature, eye movement
Adbucent nerve summary
VI, motor, eye movement
Facial nerve summary
VII, mixed nature, taste, salivation, tear secretion
auditory nerve summary
VIII, sensory, hearing
glossopharyngeal nerve summary
IX, mixed nature, taste, salivation, swallowing
vagus nerve summary
X, mixed nature, gastric and pancreatic secretion, GI movement, cardiac reflex, visceral reflex, respiratory reflex
spinal accessory nerve summary
XI, motor nature, muscles movement and visceral reflex
hypoglossal nerve summary
XII, motor, tongue movement
cranial nerve I exam (olfactory)
occlude each nostril and test different smells
cranial nerve II exam (optic)
test visual acuity with snellen eye chart or hand-held card; inspect fundi; screen visual fields by confrontation