Week 8 Neurological Assessment Flashcards
Difficulty in putting words together or comprehending words
Dysphasia
Speech and language disorder. May be impaired in 1 or several communication modalities
Aphasia
Difficulty swallowing
Dysphagia
Having the sens that either they or objects around them are moving when they are not
Vertigo
Loss of smell
Anosmia
Drooping or falling of the upper eyelid
Ptosis
Loss of hearing as we age
Presbycusis
Long sightedness due to the loss of elasticity in the lens of the eye
Presbyopia
Blindness over half the field of vision
Hemianopia
Extreme sensitivity to light
Photophobia
Difficult articulation of speech that is otherwise normal
Dysarthria
Difficulty in speaking due to a physical disorder of the mouth, tongue or throat
Dysphonia
Abnormal sensation due to pressure on or damage to peripheral nerves
Parasthesia
Double vision
Diplopoa
PEARTL
pupils equal and reacting to light
A conditional period of heightened watchfulness or preparation for action
Full alertness
The act of confusing or being confused. Unable to think with clarity or act with understanding
Confusion
Causing a person to feel sleepy or fatigued. Slow sluggish speech and slow mental process
Lethargy
Arousable with stimuli. Limited verbal responses. Appears drowsy
Obtundation
Minimal spontaneous movement. Unresponsive except to repeated stimuli
Stuporous
Sleep like state. Nil verbal sound. Does not respond to body stimuli
Comatose
Hands - Coming towards, hands in, tensed.
Legs - extension
Decorticate
Decerebrrite
Different pupil reactions
Anisocoria
Normal pupil size
2 - 4mm in bright light
Are pupil size part of GCS
Not part of GCS but in addition to it
Lowest possible GCS (Unresponsive)
3
Highest possible GCS
15
Comatose GCS
8 or Less
Level of consciousness is defined as?
When do you raise a MET call?
Drop of 2 points on GCS
What should you do after getting GCS?
Compare with last result to see change
Cushings triad
- Abnormal breathing
- Widen pulse pressure (difference between systolic and diastolic)
- Bradycardia
Change in neurological
- Dribbling doodle (incontinence)
- Forgetful
- Disturbed gait
Level of consciousness is defined as?
The degree of awareness and alertness a person has
A group of drugs that may cause a loss of consciousness as a side effect are?
Antihypertensives
The preferred positioning for an unconscious person is?
Left lateral
It is important during neurological history taking to ask about any?
Weaknesses anywhere
During neurological history taking, questions about Past Medical History need to include assessment of?
Childhood development
Airway management may be required for a person with a Glasgow Coma Score equal to or less than?
8
If it is necessary to provide painful stimulation to assess motor response or eye opening, an appropriate and approved method is via?
Trapezius muscle squeeze
To score a 4 for ‘Motor response’ using the Glasgow Coma Scale a person would be?
Showing normal flexion
An AVPU score of ‘U’ is equivalent to a Glasgow Coma Score of ?
3
