Term
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Definition
Sign: objective, you can find a sign
Symptom: subjective, pt report "Y me?" |
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Term
| Types of Neuro Assessment |
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Definition
Screen: everyone, integrated in H2T
Complete: known neuro dysfunction
Recheck: suspect finding |
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Term
Name that Lobe:
"I got hit in the head, and now I can't see too well" |
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Definition
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Term
Name that Lobe:
"My namm Ry... b-b-..." |
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Definition
| Broca's Area (frontal) (dysarthria: trouble mechanically forming words or expressive aphasia: trouble thinking of the words) |
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Term
Name that Lobe:
Nurse: "Can you tell me your name?"
Pt: "How dare you!" |
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Definition
| Wernicke's area (temporal) (receptive aphasia: trouble understanding words received) |
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Term
Name that Lobe:
pt's family reports dramatic mood swings, and uncharacteristic behavior |
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Definition
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Term
Name that Lobe:
Post head trauma, pt can't feel his ears. |
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Definition
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Term
Name that Lobe:
When prompted with vanilla, pt smells rotten eggs |
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Definition
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Term
Name that Lobe:
Pt has trouble keeping balance/has a waivering gait |
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Definition
Cerebellum
Romberg test for balance
this type of gait is known as Ataxia |
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
| A, V, P, U: alert, (responsive to) voice, pain, unresponsive |
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Term
| Unexpected Causes of Altered Mental Status (AMS) |
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Definition
Endo/exocrine: liver especially, and electrolyte imbalance
Insulin/glucose levels |
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Term
|
Definition
Olfactory: sense of smell
Tested with aromatic substance |
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Term
|
Definition
Optic: sense of sight
Snellen chart |
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Term
|
Definition
Oculomotor: lids, brows, and iris muscles
PERRLA |
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Term
|
Definition
Trochlear: oblique movement of the eyes
EOMs |
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Term
|
Definition
Trigeminal: facial sensation and chewing
soft sensation test
palpate clenched jaw |
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Term
|
Definition
Abducens: mediolateral movement of eyes
EOMs |
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Term
|
Definition
Facial: facial expression, tears, and saliva
"smile please, and frown, etc.": note symmetry
inspect mucosa for saliva |
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Term
|
Definition
Vestibulocochlear/Acoustic: sense of hearing
whispered voice test |
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Term
|
Definition
Glossopharyngeal: gag reflex
tongue depressor to test gag reflex |
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Term
|
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 |
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Term
|
Definition
Accessory: accessory muscles (scalenes, intercostals)
Rotate head, shrug test |
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Term
|
Definition
Hypoglossal: tongue
"light, tight, dynamite"
or stick out tongue |
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Term
| Paresis vs. Flaccidity vs. Spasticity |
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Definition
Weakness of voluntary motion
VS
decreased resistance against AROM
VS
lack of tone during contraction phase of PROM |
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Term
| Motor System: Extremities |
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Definition
| RAM; Finger-to-finger; finger-to-nose; and heel-down-shin tests |
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Term
|
Definition
| temperature, pin-prick (dull vs. sharp), light touch |
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Term
|
Definition
| unable to feel extremities, common in severe diabetics |
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Term
|
Definition
| vibration, kinesthesia, stereognosis, graphesthesis, two-point discrimination, extinction, and point location |
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Term
|
Definition
| 2+: not over reactive, but reactive for most locations (some are expected to be less) |
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Term
|
Definition
| rapid, rhythmic contractions when lower leg is supported, and foot is passively moved dorsally |
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Term
|
Definition
| Abdominal, cremasteric (males only), plantar |
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Term
|
Definition
| dorsiflexion during plantar reflex test; normal in babies, may indicate disease in adults |
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Term
| Infant Head Control Assessment |
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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 |
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Term
|
Definition
| a popular brand of scrubs |
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Term
|
Definition
| support baby (0-16 mo) by torso, should do a "swan dive" pose (head up, back arched) |
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Term
| Rooting and Sucking Reflexes |
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Definition
| touch near mouth with gloved finger, baby should search for finger tip, find it, and suck on it (0-12 mo) |
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Term
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Definition
| startled 0-4 m.o. should hug an imaginary tree |
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Term
| placing and stepping reflexes |
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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) |
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Term
| No DTRs on children younger than... |
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Definition
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Term
|
Definition
| repetitive movement of jaw, lips, and/or tongue; occurs in the elderly |
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Term
| Range of Scores, and Categories for the Glasgow Coma Scale |
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Definition
| 3 (in a coma) to 15 (A&Ox3) over the Eye opening, Verbal response, and Motor response categories |
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Term
| Decorticate vs. Decerebrate Posturing |
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Definition
fully flexed in on oneself
vs.
fully extended out from oneself (minus the feet) |
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Term
|
Definition
| mask face, shuffle gait, tremors |
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Term
|
Definition
| progressive dementia, judgement loss, amyloid plaques upon brain biopsy |
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Term
|
Definition
| wearing away of the myelin sheaths of the nerves, leading to poor conduction of action potentials/neural communication |
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Term
|
Definition
| electrical rhythm disturbances in the CNS leading to seizures which disrupt brain function |
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Term
|
Definition
| multiple CNS disorders characterized by tight muscles, and an unsteady/abnormal gait/walk |
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