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Neuro assessment
| Question | Answer |
|---|---|
| APHASIA | absence/total impairment ability to communicate through speech |
| ANESTHESIA | partial/complete lost of sensation with or without lost of consciousness |
| DYSPHASIA | impairment of speech |
| DYSARTHRIA | impairment /clumsiness into uttering of words |
| ATAXIA | defective muscular coordination manifested when voluntary muscles are attempted. |
| APRAXIA | inability to perform purposeful movements |
| HYPOESTHESIA | dulled sensitivity to touch |
| COMA | state of unconsciousness for which one cannot be aroused. |
| CONVULSION SEIZURE | caused by sudden discharge of electrical activity in brain |
| DELIRIUM | acute reversible state of agitated confusion |
| DIPLOPIA | double vision |
| DYSKINESIA | deffect in ability to perform voluntary movements |
| FLACCID | no muscle tone/relaxed limb |
| NEURALGIA | severe pain occuring along across a nerve |
| NEURITIS | inflammation of nerve |
| NUCHAL RIGIDITY | stiff neck/chin to test |
| NYSTAGMUS | involuntary back and forth movement of eyes. |
| PARATHESIA | abnormal sensation in different parts of body. |
| PAPILLEDEMIA | inflammation/edema in optic nerve |
| SPASTIC | resembles seizures but produced by spasms |
| STUPOR | state of altered mental status |
| TIC | spasmodic muscular contraction usually involves face |
| VERTIGO | sensation of moving around in space |
| LOC - ALERT | follows commands; responds appropriately to stimuli |
| LOC - LETHARGIC | delayed response to verbal stimuli. May drift off, but can be aroused easily |
| LOC - STUPOROUS | needs vigorous stimulation to arouse |
| LOC - COMATOSE | no response to verbal or painful stimuli |
| GLASGOW COMA TEST | best PREDICTOR of how well pt will do. Lower score (7) = worse outcome. Highest = 15. not good if pt has posturing. |
| BABINSKI REFLEX | if normal, curl down near plantar section of toes. If abnormal (positive sign), dorsiflexion of big toe & fanning out of other toes |
| ROMBERG TEST (motor function) | equilibrium/ataxia test. Stand and close eyes - if they sway, there is problem. |
| LOC | most reliable indicator of neurological status |
| call dr | if there is pupul assessment change |
| INTRACRANIAL PRESSURE | ventricular cathether in head, shows pressure |
| BRAIN - CEREBRUM | controls thinking and reasoning |
| BRAIN - BRAINSTEM | controls breathing and swallowing |
| BRAIN - CEREBELLUM | equilibrium and coordination |
| KEY COMPONENTS OF NEUROLOGICAL ASSESSMENT | mental status, pupil assessment, sensory and motor assessment, reflexes, vital signs |
| MENTAL STATUS ASSESSMENT | loc, appearance, behavior, speech, cognitive, constructional ability |
Created by:
jekjes
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