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CNS brain structures
- Cerebrum
- Basal Ganglia
- Diencephalon
- Cerebellum
- Brainstem
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Brain metabolism
- Unable to store glucose
- Continous blood flow and glucose supply needed.
- 15%-20% of cardiac ouput goes to brain via carotic and
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PNS
- Peripheral nervous system consists of:
- 12 pairs of cranial nerves
- --Sensory
- --Motor
- --CN V, VII, IX, and X have both
- 31 pairs of spinal nerves. Damage-->loss of movement and sensation.
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ANS
- Sympathetic vs. parasympathetic
- Review
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Assessment of neurological functions
- Glasgow coma scale: Ideal score is 15. Anything less indicates deminished neural functions to some degree. ie, MD may order call to him/her if score drops 2 points.
- Mental status
- --conscious
- --language skills
- --memory
- Crainal nerve function
- --pupillary, corneal, cough, gag, and swallow routinely assessed. Should be intact pretty much at all times.
- 12 CNs.
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Assessment
- Hx
- Rx
- Previous surgery and other treatments?
- Functional health patterns
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Assess stuff
- Posture
- Motor function
- Diagnostics
- --lumbar putncture
- --xray
- --mri/mra
- --cebral angiography
- --eeg (electro enecephalogram)
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