Chp 24 Neurological Assessment

headache, head injury, dizziness/vertigo, seizures, tremors, weakness, lack of coordination

• 1. olfactory
• 2. optic
• 3. oculomotor
• 4. trochlear (eyes)
• 5. trigeminal
• 6. abducens (eyes)
• 7. facial
• 8. vestibular (acoustic)
• 9. glossopharyngeal (taste)
• 10. vagus (throat)
• 11. accessory (shoulder)
• 12. hypoglossal (tongue)

smell

visual acuity, visual fields

eye movement, accommodation, pupil constriction, eyelid

eye movement downward and inward

corneal reflex, face sensation, chewing

lateral eye movement

taste-anterior 1/3, movement of forehead and mouth, raise eyebrows, smile, show teeth

• hearing and balance
• test with weber and rinne

swallowing and phonation, taste post 1/3

sensation of posterior tongue, throat, gag reflex, swallow, and phonation

shoulder movement

tongue movement

size, strength, tone, involuntary movement

tests balance, close eyes, watch for excessive swaying

• rapid and alternation movement
• finger to finger test
• finger to nose test
• heel to shin test

pain, temperature, light touch, vibration, position, tactile discrimination

test by placing common object in hand

trace # on pts hand and ask what is the #

bicep, tricep, brachioradiallis, knee, achilles

jerking

technique to relax the muscles and enhance the reflex response

• 4+ very brisk, hyperactive w clonus
• 3+ brisker than average
• 2+ average
• 1+ diminished, low normal
• 0 no response

abdominal, cremasteric (male) , plantar

rooting, palmar grasp (must go away to pick things up within months), tonic neck, moro, babinski

infant: rub cheek and attaches

infant: head turned, leg and hand move out

infant: baby splays open when big book drop next to him)

rub finger up bottom of foot, curls in

• level of consciousness
• motor function
• pupillary response
• vitals
• glasgow coma scale

cerebrum

brain

meninges

spinal cord

nerve

speech

feeling

pertaining to

inflammation

tumor

pain

hernia, protrusion

cerebral vascular accident

cerebrovascular disease