302- Neuro Assessment

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Central Nervous System is made up of:

Brain and Spinal Cord
Lobes of the Brain and Functions:
- Frontal -- Body Movement and Coordination & Planning and Consciousness
- Parietal -- Sensation and Touch & Body Positioning
- Occipital -- Vision
- Temporal -- Hearing
Expressive Aphasia

Broca's Area
Receptive Aphasia

Wernicke's Area
Cerebellum controls:

Gait and Balance
What parts make up the brain stem?
- *Midbrain
- *Pons
- *Medulla
What are the 2 CNS Sensory Pathways?
- Spinothalamic Tract
- Posterior (Dorsal) Columns
CNS Motor Pathways
- *Pyramidal Tract- Voluntary movement
- *Extrapyramidal- Muscle tone/ Gross movement
Reflex Arc
- "Knee Jerk"
4 Types of Reflex

Deep Tendon

Superficial

Visceral

Pathologic
Types/Number of Nerves
Cranial Nerves
- Spinal Nerves
- 31 pair
Autonomic Nervous System:
- Parasympathetic Nervous System
- Sympathetic Nervous System
Neural Exam Components:

Mental Status

Motor System

Sensory System

Reflexes
Motor System (muscles)
- Size
- Strength
- Involuntary movements
- Cerebellar Tests:
- Gait/Balance
- Romberg Test
- RAM
RAM

Finger to Finger, Finger to nose, Heel to Shin, motor system test
What do you assess for the Spinothalamic Tract:
- Pain
- Temperature
- Touch
Posterior Column Tract:
- Vibration
- Position
- Stereognosis
- Graphesthesia
- Two point discrimination
- Extinction
- Point Location
Ability to discriminate between different textures:

Tactile Discrimination
Types of Tactile Discrimination:
- Stereognosis-- object
- Graphesthesia-- drawing on the hand
- Two- Point Discrimination
Type of Extinction Test:
- Point Location
Scale of Documentation for Deep Tendon Reflexes:
- 4+ Hyperactive
- 3+ Brisker tan normal
- 2+ Normal
- 1+ Diminished
- 0 Absent
Deep Tendon Reflex Test Locations:
- Biceps
- Triceps
- Quadriceps
- Achilles
Superficial Reflexes:
- Abdominal
- Plantar

Author

KristaDavis

171702

Card Set

302- Neuro Assessment

Description

Exam 2

Updated

2012-09-18T16:30:17Z

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