Neurologic Deficit Flashcards

1
Q

Neurologic Deficit of Hemiparesis.
Manifestation,
L)Sided Stroke R)Sided Stroke?

A

Weakness of the face,
arm and leg on the same
side.

R) side of body
L) side of body

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2
Q

Hemiplegia Manifestation

L)Sided Stroke R)Sided Stroke?

A

Paralysis of the face, arm
& leg on the same side

R)side of body L)side of body

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3
Q

Ataxia Manifestation

L)Sided Stroke R)Sided Stroke?

A

Staggering unsteady gait
Unable to keep feet
together; needs a broad
base to stand.

May be present
May be present

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4
Q

Dysarthria Manifestation

L)Sided Stroke R)Sided Stroke?

A
Disturbance in the
muscular control of
speech
Difficulty in forming
words
Does not affect the
meaning of communication
or the comprehension of
language.

May be present
May be present

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5
Q

Dysphagia Manifestation

L)Sided Stroke R)Sided Stroke?

A

Difficulty in swallowing.

May be present
May be present

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6
Q

Paraesthesia Manifestation

L)Sided Stroke R)Sided Stroke?

A

Numbness & tingling of
extremities.

R) side of body L) side of body

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7
Q

Spatial-perceptual
alterations Manifestation
L)Sided Stroke R)Sided Stroke?

A
Incorrect perception of
self & illness. May deny
their illness or their own
body parts.
Mistaken perception of
self in space. Neglect all
input from the affected
side.
Difficulty with special
orientation, judging
spaces
Apraxia: inability to carry
out learned sequential
movements on command.

Can occur

More likely to cause
spatial-perceptual
problems

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8
Q

Expressive aphasia Manifestation

L)Sided Stroke R)Sided Stroke?

A
Difficulty in speaking &
writing. Unable to form
words that are
understandable; may be
able to speak in single
word responses.

present

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9
Q

Receptive aphasia Manifestation

L)Sided Stroke R)Sided Stroke?

A

Unable to comprehend the
spoken word; can speak
but may not make sense.

present

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10
Q

Global aphasia Manifestation

L)Sided Stroke R)Sided Stroke?

A
Combination of both
expressive & receptive
aphasia
All communication and
receptive function is lost.

present

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11
Q

Homonymous
hemianopsia/hemianopia Manifestation
L)Sided Stroke R)Sided Stroke?

A
Unaware of persons or
objects on side of visual
loss. Neglect of one side
of the body. Difficulty
judging distances.
Right visual
field deficit
Impaired
right/left
discrimination.
Left visual field
deficit
Spatial-perceptual
deficit (perceiving
the relation of 2 or
more objects in
spatial areas
Left side neglect –
deny own body
parts
Neglect all input
from L)side
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12
Q

Loss of peripheral
vision Manifestation
L)Sided Stroke R)Sided Stroke?

A

Difficulty seeing at night
Unaware of objects or the
borders of objects.

May be present
May be present

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13
Q

Diplopia Manifestation

L)Sided Stroke R)Sided Stroke?

A

Double vision.

May be present
May be present

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14
Q

Cognitive deficits Manifestation

L)Sided Stroke R)Sided Stroke?

A
Short & long term memory
loss
Decreased attention span
Impaired ability to
concentrate
Poor abstract reasoning
Altered judgement.
Altered
intellectual
ability
Impaired
comprehension
related to
language, maths
Slow, cautious
behaviour
Difficulty
making
generalisations,
which
interferes with
ability to learn.
Increased
distractibility.
Impulsive
behaviour. Moves
quickly.Poor
judgement.Impaired
time concepts
Tends to deny or
minimise problems
Short attention
span.Difficulty
making
generalisations,
which interferes
with ability to learn
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15
Q

Emotional deficits Manifestation

L)Sided Stroke R)Sided Stroke?

A
Loss of self control
Emotional lability
Decreased tolerance to
stressful situations
Depression
Withdrawal
Fear, hostility, anger
Feelings of isolation.
Aware of
deficits
Depression
Anxiety
Emotional
responses may
be exaggerated
or unpredictable.

Lack of awareness
of deficits

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16
Q

Elimination:
Incontinence Manifestation
L)Sided Stroke R)Sided Stroke?

A
Urine and bowel
elimination problems can
occur initially but usually
temporary. May
experience frequency,
urgency & incontinence.
Constipation is a frequent
problem, associated with
immobility, weak
abdominal muscles,
dehydration & diminished
response to the
defecation reflex.
Incontinence also can be
attributed to an inability
to express needs and to
manage clothing.

Can occur:
usually
temporary

Can occur: usually
temporary