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Neurological Assessment includes
- History
- Mental Status
- Language and Speech
- Cranial Nerves
- Motor Functions
- Sensory and Perceptual status
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Mental Status
- LOC - alert, disorientation, stupor, simicomatose, Comatose
- Earliest most sensitive indicator of the patients neurologic status.
- Earliest sign of increased intracranial pressure.
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Glasgow Coma Scale
- Standardized system for assessing the degree of consciousness impairment predicting the duration and ultimate outcome of coma.
- three parts, eye opening, verbal response, motor response
- Score of 15-3 (8 or less defined as coma)
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FOUR Score Coma Scale
- Full Outline of Unresponsiveness
- used to assess patient with neurologic conditions that affect cognitive function suck as stroke, craniotomy and traumatic brain injury.
- Assess eye response, motor response, brainstem reflexes and respirations
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Aphasia
an abnormal neurologic condition in which the language function is defective or absent
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Receptive aphasia (sensory aphasia)
- Inability to comprehend spoken or written word.
- Wernicke's area of the temporal lobe
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Motor Aphasia (Expressive Aphasia)
- Uses Symbols of speech
- Broca's area in the frontal lobe mediates motor speech
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Global Aphasia
Inability to understand the spoken work or to speak.
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Anomia
Characterized by the inability to name objects
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Dysarthria
Difficult, poorly articulated speech
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