neurologstatus Flashcards

1
Q

hur journalför man

A
  1. högre cerebrala funktion = kognition
    - orientering, minne, uppmärksamhet…
  2. CN
  3. motorik
  4. sensorik
  5. koordination
  6. reflexer
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2
Q

högre cerebrala funktion

A
  1. tal
    - dysartri
    - dysfasi/afasi: impressiv/expressiv
    - orientering, minne, spatial uppfattning, uppmärksamhet
    - obs patienten
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3
Q

stående

A

gångmönster
häl-tå
romberg
finger-näs
nigsittning-uppresning

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4
Q

sittande

A

lukt smak

ögonbotten

synfält donders

ögonrörelse (nystagmus, ptos)

ljusreaktion

ansiktsmotorik

hörsel

svalgreflex, svalgassymetri

tungmotorik

diadokokinesi, fingerspel

grasset

muskelkraft armar, ben

reflexer armar/ben

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5
Q

smak

A

VII
IX

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6
Q

svalg och svalgassymetri

A

IX
X
XII

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7
Q

tungmotorik

A

XII

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8
Q

grasset

A

pyramidbanan
- 10 s

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9
Q

muskelkraft olika muskler

A

axelabuktion C5

böj C6

sträck C7

fingerspret C8-T1

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10
Q

ligandes

A

sens för beröring
smärta
vibration

omvänd barre

tonus hand-arm-knä

häl-knä

babinsks

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11
Q

koordinaton

A

gångmönster

romberg

diadokokinesi

fingerspel

finger-näs, häl-knä

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12
Q

omvänd barre

A

proximal styrka

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13
Q

kortikospinalis

A

pyramidbana
- gång
- muskelkraft
- tonus
- reflexer

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14
Q

lillhjärna

A

balans; gång
koordination: diadokokinesi, finger-näs/häl-knä
muskeltonus

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15
Q

GB

A

motorik

gång

diadokokinesi

muskeltonus

dvs allmän motorik

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16
Q

CN II

A

visus

synfält

färg

konvergens, acokomdation

pupill

ljusreflex

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17
Q

CN III

A

dubbelseene

nystagmus

ögonmotorik

levator palpabel superior (ptos)

18
Q

CV V

A

sensorik ansikte

temporalis, masseter

19
Q

CN VII

A

blås upp kinder

le

vissla

blinka

förvånad

smak

hyperacustic

20
Q

CN VIII

A

hörsel

balans

21
Q

CN IX

A

symmetri mjuka gommen, sväljning, kräkreflex

22
Q

X

A

heshet

23
Q

XI

A

trapezius

sternocleidomastoideus

24
Q

XII

A

tungmotorik, deviation

25
Q

svalgmotorik

A

IX, X

26
Q

PFC

A

EF

beslut

impulser

beteende, personlighet

arbetsminne

27
Q

motorarea

A

M1
- primär motorarea
- gyrus precentralis
- axial muskulatur medialt, distal muskulatur lateralt
- KL via corticospinalis

premotor-area
- motorisk planering
- processar sensorisk information

broca

28
Q

sensorik

A

gyrus postcentralis

homonculus

29
Q

hörsel

A

temporallob

30
Q

smak

A

del av sensoriska arean gyrus postcentralis

31
Q

lukt

A

medial temporalt

32
Q

wernicke

A

temporalt

33
Q

commussurer

A

kopplar samman hemisfärer
- corpus callosum

34
Q

projektionsfibrer

A

capusla interna

corona radiata

INPUT OUTPUT HJÄRNA

35
Q

diencephalon

A

talamus
hypotalamus

36
Q

talamus

A

olika nuclei för sensorisk input
- syn: korpus geniculate laterale
- hörsel: mediale

37
Q

hypotalamus

A

autonom basal funktion

temo

hunger-törst

sexuellt beteende

autonoma nervsystemet

38
Q

hjärnstam

A

mesencefalon

pons

medulla

= mycket reflexer

39
Q

vad omger kapsula interna

A

BG
talamus

= innehåller motorprojektoner till cortcospinala/corticobulbära banan

40
Q

BG

A

nucleus lentiformis
=putamen, GP

stratiatum
= nucleus lentforms+nucleus caudate

nucleus subtalamicus

SN