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41 Cards in this Set
- Front
- Back
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Absence of light touch
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Cotton wisp
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Extension of toes
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Plantar stimulation
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Analgesia
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Sharp end of a pin
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Lack of coordination
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Heel to shin test
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Pronator drift
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Hold arms forward at shoulder with palms up
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Hypertonia
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Passive ROM to limbs
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Absence of two point discrimination
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Applying dual stimulus a few millimeters apart on the tips of fingers
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Sensory extinction
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simultaneously stimulating opposite sides of the body
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Loss of position sense
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Have patient stand with feet close together and close the eyes
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Lack of vibratory sense
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Tuning fork to bony prominences
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Babinkski sign
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inner aspect of foot to toe, if toes flare=abnormal
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Brudzinski's sign
(ski lift) |
flex neck-knee pops up; meningeal irritation
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Pronator drift
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palms up, 20 seconds, braray drip
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Kernig sign
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straight leg lift, knee bends
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Battle sign
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basal skull fracture behind ear (back), ecchymosis
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Raccoon eyes
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periorbital edema and ecchymosis; csf leak.
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Broca's aphasia
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cant express to you what they are thinking
WORD SALAD |
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Wernicke's Aphasia
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cant understand what you are saying; cant comprehend
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Dysarthria
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trouble making the muscles that make speech work
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Dysphagia
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trouble swallowing
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Brown-Sequard syndrome
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one side preserves pain and temp
other side preserves movement |
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Central cord syndrome
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gross movement of upper extremeties
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Oculocephalic (Dolls eyes)
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normal: turn head, eyes try to stay center
abnormal: eyes go with head |
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Oculovestibular reflex (caloric water test)
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cold water into ear, should go toward syringe.
COWS Cold Opposite Warm Same |
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Check these cranial nerves together
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3,4,6
9,10,12 |
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Signs of Meningeal Irritation
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Kernigs and Brudzinski
Opisthotonos (kids) |
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Kernig
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raise leg at hip w knee straight
knee flexes (due to pain) could also be herniation |
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Brudzinski
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Forceful flexion of neck causes knee flexion
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Dolls eyes
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Normal-eyes turn left as head turns right
Abnormal-head and eyes same direction |
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Cold Calorics (oculovestibular reflex)
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Normal-eyes should move toward irrigated side and rapid nystagmus back
Abnormal-absent/dysconjugate movement |
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Hemianopia
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loss of vision in nsal field of right eye and temporal side of left
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Hemianopia
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Crossing of optic nerve at chiasma
decussate =crossover |
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What could decrease oxygen sat and decrease LOC also mean
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hypoxia
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bradycardia, HTN, and wide pulse pressure
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Cushings Triad
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Cushings Triad
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Sign of Increased ICP
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Add this to Cushings Triad (increased ICP) with this and we could be dealing with a MAJOR ISSUE: brain stem herniation BAD BAD
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Unilateral dilated pupil
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Before CT test with contract, check BUN and Creatinine. Why?
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Check to see is renal functions will assist to excrete dye.
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BUN normal level
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10-20
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Creatinine normal level
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0.6-1.2
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PT
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11-14
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ptt
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30-45
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