Neuro exam

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Author:
cali-amber
ID:
93429
Filename:
Neuro exam
Updated:
2011-07-08 19:13:11
Tags:
clin path
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Description:
clin path 1
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  1. What questions should be part of a general systems review?
    • Fever
    • Diaphoresis
    • Night sweats
    • Nausea
    • Vomiting
    • Diarrhea
    • Pallor
    • Fatigue
    • Dizziness/Syncope
    • Weight loss
  2. What is inc in mini mental state exam?
    • orientation
    • registration (repeating names of things)
    • attention/calculation
    • recall
    • language
    • construction (copying a figure)
  3. Wernecke's aphasia
    receptive, fluent, can't understand language
  4. Broca aphasia
    expressive, non-fluent, difficulty producing language
  5. Fasciculations
    • irregular flickerings of muscle contraction (due to individual motor unit contractions)
    • most common with anterior horn disorders
  6. Hypotonia
    • flaccidity; reduced resistance to passive mvmt
    • usually due to LMN injury, also can be from cerebellar disease, muscle disorders, sensory dysfunction, or acute neuro injury
    • will happen immediately after s.c. injury
  7. Hypertonia
    increased resistance to passive mvmt; either spasticity or rigidity
  8. Spasticity
    • "Clasp knife response": sudden relaxation as mvmt continues
    • can be assessed on Modified Ashworth scale
    • assoc with UMN injury
  9. Rigidity
    • inc resistance to passive mvmt regardless of direction (agonist and antagonist affected equally)
    • Lead pipe rigidity: constant through movement
    • Cog-wheel rigidity: pattern of inc and dec in resistance to movement (parkinsons)
    • assoc with extrapyramidal dysfunction (basal ganglia)
  10. UMN
    everything rostal to AHC
  11. LMN
    AHC and out to muscle
  12. hemiparesis/paraparesis
    UMN
  13. decreased or absent DTR, reduced tone
    LMN
  14. positive clonus
    UMN
  15. atrophy
    LMN
  16. fasciculations present
    LMN
  17. Babinski positive
    UMN
  18. inc DTR/ hypertonicity/spasticity
    UMN
  19. Long term goals are ___ oriented
    activity and participation
  20. Short term goals are ___ oriented
    may be impairment oriented, but should be conected to long term functional goal

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