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31 Cards in this Set

  • Front
  • Back

Frontal Lobe

personality behavior, etc.

Temporal

hearing, taste, smell (olfactory)

Broca's Area

in frontal lobe, motor speech


abnormal: expressive aphasia-person can't talk

parietal

sensation

wernicke's area

in temporal, speech comprehension


receptive aphasia- dont understand

occipital

visual reception

cerebellum

motor coordination


equilibrium


balance

spinal cord

cervical 8


thoracic 12


lumbar 5


sacral 5

balance test

cerebellum


gait and tandem walking


romberg test (swaying)

ram

rapid alternating movements


patty cake on thighs (palm and dorsal)


touch each finger to thumb rapidly

coordination and skilled movements

finger to nose


finger-nose(your finger)


heel to shin

four types of reflexes

deep tendon (ex. knee jerk)


superficial (ex. corneal)


visceral (ex. pupillary response to light)


pathologic (ex. w/ stroking; abnormal; babinski)

cranial nerves enter and exit where?

the brain rather than the spinal cord

reinforcement

patient focus on another action while you perform reflex

scale for reflexes

1+ low


2+ normal


3+ brisker than average (maybe disease)


4+ hyperactive with clonus (disease)



posterior column vibrational assessment

normal client perceives a buzzing or tingling sensation when a bony prominence touches base of vibrating fork

sensation assessment

kinesthetic sensation, with person's eyes closed, place fingers on each side of patients finger and move it and ask them what direction it went.




tactile- stereognosis (knowing object by touch) and graphesthesia (what letter or number is written on hand)




two point discrimination- either 1 or 2 parts of skin is being stimulated

Brief neuro exam

every patient gets this


level of consciousness


glasgow coma scale


pupillary response


vital signs



abnormal posturing

decorticate- flexed in tight


decerebrate- upper arm strain and hands come out

abnormal pupillary response

inequality of pupils, one is less than 1 mm.


dolls eyes- their eyes don't track.

vital sign changes?

changes occur late.

bell's palsy

injury to CN7; forehead is tight and unilateral in drooping.

neuropathy

loss of sensation, peripheral then core.

syncope

sudden loss of strength, temporary loss of consciousness caused by lack of cerebral blood flow and low BP

vertigo

rotational spinning

paresis

partial paralysis

dysmetria

inability to control the distance of muscular action.

paresthesia

abnormal sensation

dysarthia

difficulty forming words

analgesia

absent pain sensation

anesthesia

absent touch sensation