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N A Neuro Exam - 953

N A Neurologic Examination Pg 953

What is the purpose of a neurologic examination? To determine: 1 - whether a nervous system malfunction is present; 2 - if yes, its location; 3 - Identify its type & extent.
During the exam the physician may determine the effect of the symptoms on what? Patient's emotional status, intellectual performance, cognitive abilty, general behavior
What items are carfully observed? Grooming, mannerisms, his or her ability to communicate, appropriate use of speech, language,& writing skills.
What should the MA carefully listen for difficulty in what areas? Putting words together, slurred speech, whether conversation makes sense.
What should the MA do if they notice inappropriate changes in the patient? Note them on the patient's record for the physician's attention & evaluation.
Physical Examination of the neurologic system includes evaluation of what? The cranial nerves
What is the name of cranial nerve I? The olfactory nerve
How do you test the cranial nerve 1? By testing the patients ability to identify familiar odors. (Coffee, tobacco or cloves)
What is the name of the cranial nerve V? The trigeminal nerve
How do you test the cranial nevre V? By testing the patients ability to differentiate between warm & cold objects held against his or her cheeks.
How do you evaluate peripheral nerve function? By examining the motor system;
What does evaluation of the motor system include? Muscular strength; Gait; Movements
Why would the diameters of the upper arms calfs be measured & compared? To diagnose muscle atrophy
Motor functioning can be assessed through the use of what test? The Romberg test
What do you ask the pt to do when testing motor function? Stand with feet together - arms horizontal to the body - eyes closed
How is the sensory system examined? By noting the patients ability to perceive superfical sensations.
What are some examples of tests done to check the sensory system? Wisp of cotton brushed on the skin - a light pinprick - hot or cold touching certain areas.
What are the deeep tendon reflexs?(DTRs) Patellar - Achilles - Biceps - Brachloradials - Triceps
What is the Biceps reflex? Flexion of elbow
What is the Brachioradials reflex? Flexion & supination of the forearm
What is the Triceps reflex? Extension of the arm
What is the Patellar reflex? Extension of the leg
What is the Achilles reflex? Platar flexion of the foot
How is the Bebinski reflex checked? By stoking the lateral aspect of the sole of the foot with a dull object
What happens when the patient has a positive reaction during the Babinski reflex test? The great toe dorsiflexes while the other toes fan out.
What diagnosis does a postive Babinski reflex indicate? A possible stoke or brain lesion.
What are some samples of diagnostic tests? Skull radiograph, carotid ateriogram, myelogram, EEG, MRI, & CT studies
Created by: spawmary