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Neurological Assessment
McCall Week 6
49
Nursing
Graduate
10/09/2013

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Cards

Term
Sign vs. Symptom
Definition
Sign: objective, you can find a sign
Symptom: subjective, pt report "Y me?"
Term
Types of Neuro Assessment
Definition
Screen: everyone, integrated in H2T
Complete: known neuro dysfunction
Recheck: suspect finding
Term
Name that Lobe:
"I got hit in the head, and now I can't see too well"
Definition
Occipital
Term
Name that Lobe:
"My namm Ry... b-b-..."
Definition
Broca's Area (frontal) (dysarthria: trouble mechanically forming words or expressive aphasia: trouble thinking of the words)
Term
Name that Lobe:
Nurse: "Can you tell me your name?"
Pt: "How dare you!"
Definition
Wernicke's area (temporal) (receptive aphasia: trouble understanding words received)
Term
Name that Lobe:
pt's family reports dramatic mood swings, and uncharacteristic behavior
Definition
Frontal
Term
Name that Lobe:
Post head trauma, pt can't feel his ears.
Definition
Parietal
Term
Name that Lobe:
When prompted with vanilla, pt smells rotten eggs
Definition
Temporal
Term
Name that Lobe:
Pt has trouble keeping balance/has a waivering gait
Definition
Cerebellum
Romberg test for balance
this type of gait is known as Ataxia
Term
Dyslipidemia
Definition
high blood cholesterol
Term
syncope
Definition
fainting
Term
levels of consciousness
Definition
A, V, P, U: alert, (responsive to) voice, pain, unresponsive
Term
Unexpected Causes of Altered Mental Status (AMS)
Definition
Endo/exocrine: liver especially, and electrolyte imbalance

Insulin/glucose levels
Term
CN I
Definition
Olfactory: sense of smell
Tested with aromatic substance
Term
CN II
Definition
Optic: sense of sight
Snellen chart
Term
CN III
Definition
Oculomotor: lids, brows, and iris muscles
PERRLA
Term
CN IV
Definition
Trochlear: oblique movement of the eyes
EOMs
Term
CN V
Definition
Trigeminal: facial sensation and chewing
soft sensation test
palpate clenched jaw
Term
CN VI
Definition
Abducens: mediolateral movement of eyes
EOMs
Term
CN VII
Definition
Facial: facial expression, tears, and saliva
"smile please, and frown, etc.": note symmetry
inspect mucosa for saliva
Term
CN VIII
Definition
Vestibulocochlear/Acoustic: sense of hearing
whispered voice test
Term
CN IX
Definition
Glossopharyngeal: gag reflex
tongue depressor to test gag reflex
Term
CN X
Definition
Vagus: swallowing and speaking
After gag reflex (CN IX), pt will likely swallow, if not prompt them to; speaking should have been assessed with A & O
Term
CN XI
Definition
Accessory: accessory muscles (scalenes, intercostals)
Rotate head, shrug test
Term
CN XII
Definition
Hypoglossal: tongue
"light, tight, dynamite"
or stick out tongue
Term
Paresis vs. Flaccidity vs. Spasticity
Definition
Weakness of voluntary motion

VS

decreased resistance against AROM

VS

lack of tone during contraction phase of PROM
Term
Motor System: Extremities
Definition
RAM; Finger-to-finger; finger-to-nose; and heel-down-shin tests
Term
Spinothalamic tests
Definition
temperature, pin-prick (dull vs. sharp), light touch
Term
peripheral neuropathy
Definition
unable to feel extremities, common in severe diabetics
Term
posterior column tests
Definition
vibration, kinesthesia, stereognosis, graphesthesis, two-point discrimination, extinction, and point location
Term
Expected DTR
Definition
2+: not over reactive, but reactive for most locations (some are expected to be less)
Term
Clonus
Definition
rapid, rhythmic contractions when lower leg is supported, and foot is passively moved dorsally
Term
Superficial Reflexes
Definition
Abdominal, cremasteric (males only), plantar
Term
Babinski sign
Definition
dorsiflexion during plantar reflex test; normal in babies, may indicate disease in adults
Term
Infant Head Control Assessment
Definition
pull wrists to sitting: head should be in same plane with torso
support chest, turn baby prone: head should be w/in 45 degrees of horizontal
Term
Landau
Definition
a popular brand of scrubs
Term
Landau reflex
Definition
support baby (0-16 mo) by torso, should do a "swan dive" pose (head up, back arched)
Term
Rooting and Sucking Reflexes
Definition
touch near mouth with gloved finger, baby should search for finger tip, find it, and suck on it (0-12 mo)
Term
Moro reflex
Definition
startled 0-4 m.o. should hug an imaginary tree
Term
placing and stepping reflexes
Definition
touch surface to top of 4 day to 2 month old's foot, should step on top of it

support baby with his feet on floor, lean him forward he should step (and alternate steps as you continue to lean him)
Term
No DTRs on children younger than...
Definition
...5 years old
Term
dyskinesia
Definition
repetitive movement of jaw, lips, and/or tongue; occurs in the elderly
Term
Range of Scores, and Categories for the Glasgow Coma Scale
Definition
3 (in a coma) to 15 (A&Ox3) over the Eye opening, Verbal response, and Motor response categories
Term
Decorticate vs. Decerebrate Posturing
Definition
fully flexed in on oneself

vs.

fully extended out from oneself (minus the feet)
Term
Parkinson's
Definition
mask face, shuffle gait, tremors
Term
Alzheimer's
Definition
progressive dementia, judgement loss, amyloid plaques upon brain biopsy
Term
Multiple sclerosis
Definition
wearing away of the myelin sheaths of the nerves, leading to poor conduction of action potentials/neural communication
Term
Epilepsy
Definition
electrical rhythm disturbances in the CNS leading to seizures which disrupt brain function
Term
Cerebral Palsy
Definition
multiple CNS disorders characterized by tight muscles, and an unsteady/abnormal gait/walk
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