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neurotests EZ
EZ reference table nero checks
| Question | Answer |
|---|---|
| Babinskis Reflex | sharp along bottom of foot- positive=fanned toes and big toe UP (normal in infants) MOTOR test |
| decerebrate posturing | brain stem /midbrain injury, pronation and extension of arms |
| decorticate posturing | cortex damage- internal rotation and arm flexion |
| nystagmus | quick back and forth movement of eyeat the end points in each direction |
| trigeminal nerve check | ask to clamp jaw shut,open mouth against resist,chewing movements and move jaw w/open mouth |
| facial nerve check | SMILE, raise eyebrows,tightly close eyes |
| Romberg's test | balance- stand straight close eyse watch fro swaying, |
| finger touch | have touch finger while moving it to different spots and then have touch nose-tests ability to follow commands and coordination |
| Doll's eye (oculocephalic) | hand on either side of head eyes held open with thumbs, rotate head side to side- eyes move in opposite direction heas is turned |
| oculovesicular reflex | head at 30degrees, 20-2000mls ice h2o in ear,absence of eye movement+ brainstem lesion |
| knee jerk | patellar reflex tests nerve pathways from L2-L4 |
| biceps reflex | C5-C6 pathways |
| triceps reflex | C7-C8 |
| Achilles tendon reflex | S1-S2 |
| Glasgow Coma scale | tests 1-eye opening, 2-best motor response, 3- best verbal response toal 15, <8=coma |
| FOUR Full outline of unresponsiveness | score of 0-4 in each category:eye, motor brainstem, and respiratory function, 4 is normal |
| Puppilary size | tests cranial nerves II &III- changes may be sign of increased ICP |
| accomodation | able to focus on things near and far away |
| dilated/fixed pupils | indicate brain damage- in the absence of systemic drugs |
| one fixed pupil | indicates increased ICP |
| neuro checks focus | focus on four areas" Vitals, LOC, pupil reaction, motor function |
| Cushing's triad | classic signs of ICP-rising sytolic blood pressure, widened pulse pressure, bradycardia with a full or bounding pulse |
| brudzinski's sign | passive flexion of the head and neck causes flexion of the thighs and legsindicates meningeal irritation |
| kernig's sign | inability to extend the leg from 90 degree flexion at hip due to pain spams in hamstrings indicates meningeal irritation |
| Nuchal rigidity | tests for pain and stiffness in the neck |
| lhermitttes sign | electrical sensation of sever pain that travels down spine when chin is tucked. |
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