Neurological Assessment and Exam Flashcards
C1-C3
neck muscles
C4
diaphragm
c5
deltopid
c6
wrist
c7-8
fingers
T1
hand
t2-t12
intercostals
t7 -l1
abdominals
t11-L2
ejaculation
L2
hips
L3
Quds
L4-L5
Hamstrings-knee
L4-S1
Foot
S2
penile erection
s2-s3
bowel and bladder
Cranial Nerve 1
Olfactory Sensory Smell
Cranial Nerve 2
Optic Sensory Vision
Cranial Nerve 3
Oculomotor Motor Most eye movement
Cranial Nerve 4
Trochlear Motor Moves eye to look at nose
Cranial Nerve 5
Trigeminal Both Face sensation, mastication
Cranial Nerve 6
Abducens Motor Abducts the eye
Cranial Nerve 7
Facial Both Facial Expression, taste
Cranial Nerve 8
Vestibulocochlear, Sensory hearing, balance
Cranial Nerve 9
Glossopharyngeal both taste, gag reflex
Cranial Nerve 10
Vagus both gag reflex, parasympathetic intervention
Cranial Nerve 11
Accessory motor shoulder shurg
Cranial Nerve 12
Hypoglossal motor swallowing, speach
Infants Special Considerations
Hypotonia or hypertonia
Developmental delays
Children Special Considerations
Developmental delays
Hyperactive or impulsive behavior
Headaches
Seizure activity
Pregnant Special Considerations
Any history of seizure activity
Headaches
Taking prenatal vitamins?
Older Patients Special Considerations
Fall risk/prevention
Hearing and/or vision loss
Urinary or fecal incontinence
History of TIAs?
Pain HPI
Onset
Quality and intensity
Location
Impact on life
Gait Coordination HPI
Balance
Vertigo
Falling
Associated problems
Tremor HPI
Onset Characteristics Associated problems Relieved by Rest Activity Alcohol Medications that may cause a tremor
Past Medical History
Trauma Meingintis Congenital abnormalites Cardiovascular issues Hypertension Peripheral vascular disease Neuroligic disorders Headaches
CN 1 Test
Not routinely tested
Tested when concerned about patient’s ability to discriminate odors
Make sure nasal passages are clear and patent
Test one naris at a time, eyes closed
CN 2 Test
Test distant and near vision
Test visual fields by confrontation and extinction of vision
Cranial Nerve III, IV and IV - Test
Eye movement III IV VI Pupil constriction III
CN 7 Test
Inspect symmetry of facial features
CN 8 Test
Test sense of hearing with whisper screening
CN 11 Test
Shoulder Shrug
CN 7 test
tongue side to side