neurological assessment (2nd sem, finals)

• oh, oh, oh, to, touch, and, feel, a, girls, vagina, so, heaven

  • olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial, acoustic, glossopharyngeal, vagus, spinal, accessory, hypoglossal
• carries smell (sensory)

  olfactory
• carries visual impulses

  optic
• contracts eye muscles to control eye movements (motor)

  oculomotor
• contracts one eye muscle to control inferomedial eye movement (motor)

  trochlear
• carries sensory impulses of pain, touch, and temp. (sensory/motor)

  trigeminal
• controls lateral eye movement (motor)

  abducens
• sensory, taste, facial movement (Sensory/motor)

  facial
• contains sensory fibers for hearing and balance (sensory)

  acoustic
• promotes swallowing movement (sensory/motor)

  glossopharyngeal
• carries sensations from the throat, larynx, heart, etc./ promotes swallowing (sensory/motor)

  vagus
• innervates neck muscles/promotes movements of the shoulders (motor)

  spinal accessory
• innervates tongue muscles that promote the movement of food (motor)

  hypoglossal
• it is a condition of drooping of eyelid

  ptosis
• unable to identify objects

  AGNOSIA
• Inability to correctly identify objects

  ASTEREOGNOSIS
• Complete or partial loss of voluntary muscle movement

  AKINESIA
• Absence or impairment of ability to communicate through speech, writing, or signs

  APHASIA
• Inability to carry out learned sequential movements or commands

  APRAXIA
• Inability to name object verbally, so patient talks around object or uses gesture to define it

  CIRCUMLOCUTION
• Defective speech; inability to articulate words; impairment of tongue and other muscles needed for speech

  DYSARTHRIA
• Impaired or difficult speech

  DYSPHASIA
• Difficulty with quality of voice; hoarseness

  DYSPHONIA
• Made-up, nonsense, meaningless words

  NEOLOGISMS
• Loss of ability to use words correctly and coherently; words are jumbled or misused

  PARAPHASIA
• Involuntary movement of part of body

  TREMORS
• Involuntary movement when attempting coordinated movements

  INTENTION TREMOR
• Involuntary contraction or twitching of muscle fibers

  FASCICULATION
• Follows commands in a timely fashion

  Alert
• Appears drowsy, may drift off to sleep during examination

  Lethargic
• Requires vigorous stimulation (shaking, shouting) for a response

  Stuporous
• Does not respond appropriately to either verbal or painful stimuli

  Comatose