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Neurologic System

Health Assessment

Nuchal rigidity stiff neck associated with meningitis and intracranial hemorrhage
Brudzinski involuntary flexion of hips/knees when examiner flexes patient's neck
Kernig flex the leg at knee and hip in supine position. pain in lower back and resistance to straightening the leg is positive sign
Decerebrate posture indicated brainstem damage, pronation of arms and planter flexion
Decorticate posture indicates cerebral damage, hands cover heart
Documentation of DTR's 0-4. 0 - no response, 1+ sluggish, 2+ expected, 3+ more brisk than expected, 4+ hyperactive
Babinski (plantar) reflex + if dorsiflexion of great toe with fanning of other toes. + is abnormal. foot should plantar flex in everyone over 2 y/o
cremasteric reflex stroke the inner thigh/groin, results in rising of the testicle and scrotum on side stroked
abdominal reflex movement of umbilicus toward the area of stimulation. stroke from umbilicus outwards.
clonus support foot, briskly dorsiflex, then let foot fall. loking for oscillating movements in foot's fall
Achilles reflex plantar flexion of the foot
patellar reflex extension of the knee
brachioradialis reflex pronation of the forearm and flexion of the elbow
triceps reflex extension of the elbow
biceps reflex extension of the arm
two-point discrimination use two toothpicks and move from two distinct points into one, PT will verbalize when the two points feel like one
graphesthesia PT has eyes closed, nurse draws a number and/or letter on PT's hand,
stereognosis PT distinguishes common objects in his/her hands with eyes closed. examples - coin, key
proprioception PT tells nurse whether his/her finger and/or toe is being pulled up or down
Created by: ryanleoware