The Neurological System. Neurological Exam 5 Components. Mental Status Examination

Size: px
Start display at page:

Download "The Neurological System. Neurological Exam 5 Components. Mental Status Examination"

Transcription

1 The Neurological System 1 Neurological Exam 5 Components Mental status Cranial nerves Reflexes Motor- includes Cerebellar function Sensory 2 Mental Status Examination Examination - ABCT Appearance Behavior Cognition Thought processes (thought content & perceptions) Mini Mental State Exam Glasgow Coma Scale 3

2 Assessing LOC: Glasgow Coma Scale Eye opening Verbal responsiveness Motor responsiveness 4 Glasgow Coma Scale 5 Physical Examination Levels of Consciousness Alert- awake or easily aroused Lethargic- not fully alert, drifts off when not stimulated Obtunded- sleeps most times, difficult to arouse (loud noise, vigorous shaking or pain) Stupor- need persistent loud noise or pain for arousal; responds to stimuli Coma- no response (Jarvis CH 2) 6

3 Cranial Nerves On old Olympus Towering Tops a Finn and German Viewed some hops. I Olfactory II Optic III Occulomotor IV Trochlear V Trigeminal VI Abducens VII - Facial VIII Auditory (V-C) IX - Glossopharyngeal X - Vagus XI Spinal Accessory XII - Hypoglossal 7 Neurological: Physical Examination Sensory System Function With eyes closed Interpret sensations Discriminate side to side Examine in detail if: Reduced sensation Numbness or pain Motor or reflex abnormal Skin changes Be specific: tell me where I touch 8 Physical Examination Sensory Function Tests: Touch Light touch 1 st then Pain & Temperature Vibration Proprioception: Position sense Stereognosis Graphesthesia 2-point discrimination 9

4 Sensory Function Tests: Sensory Exam: Light Touch 10 Sensory Function Tests: Sensory Exam: Vibration 11 Sensory Function Tests: Proprioception: Position sense 12

5 Sensory Function Tests: Stereognosis 13 Sensory Function Tests: Graphesthesia 14 Sensory Function Tests: Two-point discrimination 15

6 Sensory Function Tests: Dermatomes 16 Motor Examination Symmetry, size, and presence f involuntary movements Full ROM of joints Check strength against resistance Neuro patients: Assess hand grips and foot pushes if bedridden 17 Cerebellar Function 1. Gait and posture Heel to toe in straight line Walking on toes and heels Hop on one foot Note width of gait 18

7 Cerebellar Function, con t 2. Coordination of hands and legs RAM nose to examiner s finger heel to shin coordination 19 Cerebellar Function, con t RAM 20 Cerebellar Function, con t Nose to - Finger Test 21

8 Cerebellar Function, con t Heel to Shin 22 Cerebellar con t 3. Romberg: Stand upright, place feet together, then close eyes loss of balance means + Romberg test Be prepared to protect client from falling! 23 4 types of Reflexes Superficial (abdominal reflex, Cremasteric reflex) Visceral (pupillary response to light) PERRL Pathologic + Babinski in adults DTRs (e.g. knee) Abdominal Reflex Cremastic Reflex 24

9 Reflexes-Cont: PERRL/PERRLA 25 Reflexes-Cont: Babinski s Reflex (Adult) 26 Reflexes-Cont: Reflex Arc Deep Tendon Reflex 27

10 Reflexes-Cont: Deep Tendon Reflexes Technique Position limb so muscle is slightly stretched Reflex hammer should strike tendon briskly to stretch tendon Get patient to relax 28 BRACHIORADIALIS BICEPS ACHILLES/PLANTAR TRICEPS PATELLAR DEEP TENDON REFLEXES 29 Grading of DTRs very brisk brisker than average average, normal diminished, low normal no response 30

11 Assessment Guide: Neurological LOC: alert, comatose, lethargic, obtunded GCS Eye opening: spontaneously, to speech, to pain Verbal Response: oriented, confused, inappropriate, incomprehensible Motor Response: obeys, command, localizes pain, withdraws, flexion, extension 31 Assessment Guide : cont.. Seizure Describe: tonic clonic, absence, status epilepticus Timing: once at 10 am; 2 pm and 2:45 pm 32 Altered mental status: yes, no Aphasia: present, none Intelllectual functioning: intact; short attention span, dementia, memory loss Itnerventions in use: Seizure precautions: side rails padded, oral airway at bedside Med List: Klonopin, Aricept, Neurontin, Dilantin, etc. 33

Neurological Assessment

Neurological Assessment Neurological Assessment Name: Age: Gender: Date: History Review of history related to neurological system YES/NO If YES, provide details: General Neurological Mental Illness Neurological disease Severe

More information

Neurological Assessment. Lecture 8

Neurological Assessment. Lecture 8 Neurological Assessment Lecture 8 Nervous System Central Nervous System Brain Spinal cord Peripheral Nervous System Cranial nerves Spinal nerves Central Nervous System-Brain Central Nervous System-Spinal

More information

The Deconstructed Neurological Examination

The Deconstructed Neurological Examination The Deconstructed Neurological Examination Marguerite Knipe, DVM, Diplomate ACVIM (Neurology) I. MENTATION: Normal, Quiet, Obtunded (mild, moderate, severe), Stuporous, Comatose Define stuporous and comatose.

More information

Neuro Exam Explained

Neuro Exam Explained Neuro Exam Explained Michael Nelson M.D. Providence Neurological Specialties East Primary Care Conference October 26 rd, 2017 Michael Nelson M.D. Medical School: University of Missouri-Columbia Residency:

More information

Anatomy of Nervous System. Neurological Assessment. Brain. Brain. Spinal Cord. Spinal Cord 03/23/2010. Central. Peripheral

Anatomy of Nervous System. Neurological Assessment. Brain. Brain. Spinal Cord. Spinal Cord 03/23/2010. Central. Peripheral Anatomy of Nervous System Neurological Assessment Central Brain Spinal cord Peripheral Spinal Nerves Brain Cerebral cortex ( rind ) gray matter Frontal Parietal Temporal Occipital Wernicke s area receptive

More information

Cerebrum. Impulses transmitted by:

Cerebrum. Impulses transmitted by: Sharon Niggemeier RN MSN Victoria Siegel RN, MSN, EdD Myung-Hee Pak, RN, MSN, CCRN Nervous system- divided into 2 structural parts Central Nervous System (CNS)- brain & spinal cord Peripheral Nervous System

More information

Neurological Examination

Neurological Examination Neurological Examination Charles University in Prague 1st Medical Faculty and General University Hospital Neurological examination: Why important? clinical history taking and bedside examination: classical

More information

A Hypothesis Driven Approach to the Neurological Exam

A Hypothesis Driven Approach to the Neurological Exam A Hypothesis Driven Approach to the Neurological Exam Vanja Douglas, MD Assistant Clinical Professor UCSF Department of Neurology Disclosures None 1 Purpose of Neuro Exam Screen asymptomatic patients Screen

More information

Motor, Reflex, Coordination and Sensory Screening Examination

Motor, Reflex, Coordination and Sensory Screening Examination Motor, Reflex, Coordination and Sensory Screening Examination K. Jeffrey Miller, DC, DABCO Miller 2002 2002-2012 K Jeffrey Miller DC DABCO Motor Function Neurological Testing Handedness Right or Left Handed

More information

The Neurologic Examination: High-Yield Strategies

The Neurologic Examination: High-Yield Strategies The Neurologic Examination: High-Yield Strategies S. Andrew Josephson, MD Examination Approach Two types of neurologic examinations 1. Screening Examination 2. Testing Hypotheses Select high-yield tests

More information

The Neurologic Examination: High-Yield Strategies

The Neurologic Examination: High-Yield Strategies The Neurologic Examination: High-Yield Strategies S. Andrew Josephson, MD Assistant Professor, Department of Neurology Divisions of Neurovascular and Behavioral Neurology University of California San Francisco

More information

High Yield Neurological Examination

High Yield Neurological Examination High Yield Neurological Examination Vanja Douglas, MD Sara & Evan Williams Foundation Endowed Neurohospitalist Chair Director, Neurohospitalist Division Associate Professor of Clinical Neurology UCSF Department

More information

The Neurologic Examination

The Neurologic Examination The Neurologic Examination Cheryl L. Chrisman, DVM, MS, EdS, DACVIM (Neurology) The neurologic examination is a series of observations and tests done to answer the following four questions: h Is a lesion

More information

The High-Yield Neurologic Examination

The High-Yield Neurologic Examination The High-Yield Neurologic Examination S. Andrew Josephson MD Carmen Castro Franceschi and Gladyne K. Mitchell Neurohospitalist Distinguished Professor Chair, Department of Neurology Director, Neurohospitalist

More information

Cranial Nerve: eyelid and eyeball movement innervates superior oblique turns eye downward and laterally chewing face & mouth touch & pain

Cranial Nerve: eyelid and eyeball movement innervates superior oblique turns eye downward and laterally chewing face & mouth touch & pain Cranial Nerves Cranial Nerve: I Olfactory II Optic III Oculomotor IV Trochlear V Trigeminal VI Abducens VII Facial VIII Vestibulocochlear (auditory) IX Glossopharyngeal X Vagus XI Spinal Accessory XII

More information

Emergency Neurology and Management

Emergency Neurology and Management Emergency Neurology and Management Nathan Toussaint, NRP Department of Emergency Medicine LIFELINE- Critical Care Transport Team Johns Hopkins Hospital Disclaimer: Anything presented to you in this lecture

More information

BATES VISUAL GUIDE TO PHYSICAL EXAMINATION. Vol. 18: Nervous System: Sensory System and Reflexes

BATES VISUAL GUIDE TO PHYSICAL EXAMINATION. Vol. 18: Nervous System: Sensory System and Reflexes BATES VISUAL GUIDE TO PHYSICAL EXAMINATION Vol. 18: Nervous System: Sensory System and Reflexes Your learning objectives for mastering the examination of the sensory system and reflexes are: to assess

More information

University of Manitoba - MPT: Neurological Clinical Skills Checklist

University of Manitoba - MPT: Neurological Clinical Skills Checklist Name: Site: Assessment Skills Observed Performed Becoming A. Gross motor function i. Describe movement strategies (quality, devices, timeliness, independence): supine sidelying sit stand supine long sitting

More information

Nervous System. The Peripheral Nervous System Agenda Review of CNS v. PNS PNS Basics Cranial Nerves Spinal Nerves Reflexes Pathways

Nervous System. The Peripheral Nervous System Agenda Review of CNS v. PNS PNS Basics Cranial Nerves Spinal Nerves Reflexes Pathways Nervous System Agenda Review of CNS v. PNS PNS Basics Cranial Nerves Spinal Nerves Sensory Motor Review of CNS v. PNS Central nervous system (CNS) Brain Spinal cord Peripheral nervous system (PNS) All

More information

MOLLOY COLLEGE THE BARBARA H. HAGAN SCHOOL OF NURSING NURSE PRACTITIONER PROGRAMS. Study Guide for the Basic Physical Assessment Exam

MOLLOY COLLEGE THE BARBARA H. HAGAN SCHOOL OF NURSING NURSE PRACTITIONER PROGRAMS. Study Guide for the Basic Physical Assessment Exam THE BARBARA H. HAGAN SCHOOL OF NURSING S Study Guide for the Basic Physical Assessment Exam Questions will be based on following chapters in, Bickley, L.S. (2016). (12 th ed). Bates guide to physical examination

More information

Slide 1. Slide 2. Slide 3. Intro to Physical Therapy for Neuromuscular Conditions. PT Evaluation. PT Evaluation

Slide 1. Slide 2. Slide 3. Intro to Physical Therapy for Neuromuscular Conditions. PT Evaluation. PT Evaluation Slide 1 Intro to Physical Therapy for Neuromuscular Conditions PTA 103 Introduction to Clinical Practice 2 Slide 2 Mental status: consciousness, attention, orientation, cognition Communication: speech

More information

NEUROLOGY CLERKSHIP CORE CURRICULUM GUIDELINES

NEUROLOGY CLERKSHIP CORE CURRICULUM GUIDELINES NEUROLOGY CLERKSHIP CORE CURRICULUM GUIDELINES Endorsed by the following organizations - October 2000: American Academy of Neurology Association of University Professors of Neurology American Neurological

More information

Course: Physical Assessment II Date: October 17, 2008 Doc: Practice Quiz 1

Course: Physical Assessment II Date: October 17, 2008 Doc: Practice Quiz 1 Course: Physical Assessment II Date: October 17, 2008 Doc: Practice Quiz 1 This is the practice quiz we did in Class 4. The answers are at the end of the quiz should you wish to test yourself. Complete

More information

UF NEUROLOGY HISTORY AND PHYSICAL GUIDELINES

UF NEUROLOGY HISTORY AND PHYSICAL GUIDELINES UF NEUROLOGY HISTORY AND PHYSICAL GUIDELINES HISTORY Chief Complaint A maximally succinct statement of the patient age, handedness, gender, main problem, and its duration (e.g. 56 year old right-handed

More information

Name Date Period. Human Reflexes Lab

Name Date Period. Human Reflexes Lab Name Date Period Introduction: Human Reflexes Lab Neurons communicate in many ways, but much of what the body must do every day is programmed as reflexes. Reflexes are rapid, predictable, involuntary motor

More information

Brain and spinal nerve. By: shirin Kashfi

Brain and spinal nerve. By: shirin Kashfi Brain and spinal nerve By: shirin Kashfi Nervous system: central nervous system (CNS) peripheral nervous system (PNS) Brain (cranial) nerves Spinal nerves Ganglions (dorsal root ganglions, sympathetic

More information

Cranial Nerves and Spinal Cord Flashcards

Cranial Nerves and Spinal Cord Flashcards 1. Name the cranial nerves and their Roman numeral. 2. What is Cranial Nerve I called, and what does it 3. Scientists who are trying to find a way to make neurons divide to heal nerve injuries often study

More information

Neurology. Clerkship. Syllabus

Neurology. Clerkship. Syllabus Neurology Clerkship Syllabus Clerkship Website http://depts.washington.edu/neurolog/education/clerkships/home.html Neurology Clerkship Identifying data Name: Dates of clerkship: / / to / / Location: Contact

More information

An Illustrated Guide For Peripheral Nerve Examination. Bedside Teaching for 2 nd year medical Students

An Illustrated Guide For Peripheral Nerve Examination. Bedside Teaching for 2 nd year medical Students An Illustrated Guide For Peripheral Nerve Examination Bedside Teaching for 2 nd year medical Students Prepared by: Dr. Farid Ghalli Clinical Teacher (Hon) November 2016 Before Examination : Wash hands

More information

Physical Assessment Class 3

Physical Assessment Class 3 Physical Assessment Class 3 Daily Tasks **Spot Test and assessment 1 (Class materials from1 2)** Goals: Understand significant features of a neurological history Know the complete sequence of cranial nerve

More information

Chapter 13 PNS and reflex activity

Chapter 13 PNS and reflex activity Chapter 13 PNS and reflex activity I. Peripheral nervous system A. PNS links CNS to the body B. Sensory: the afferent division C. Motor: the efferent division D. Ganglia: collections of cell bodies in

More information

Cranial Nerves Exam. 1. To learn how to examine the functions of the 12 pairs of cranial nerves.

Cranial Nerves Exam. 1. To learn how to examine the functions of the 12 pairs of cranial nerves. Cranial Nerves Exam [Purpose] 1. To learn how to examine the functions of the 12 pairs of cranial nerves. 2. To understand the function of the 12 pairs of cranial nerves. [Principle] The cranial nerves

More information

Examination Approach. Examination Approach. Case 1: Mental Status. The Neurological Exam In the ICU: High Yield Techniques 5/8/2015

Examination Approach. Examination Approach. Case 1: Mental Status. The Neurological Exam In the ICU: High Yield Techniques 5/8/2015 The Neurological Exam In the ICU: High Yield Techniques Examination Approach Two types of neurologic examinations 1. Screening Examination 2. Testing Hypotheses Select high-yield tests and techniques S.

More information

ID # COMPLETED: YES 1 DATE NO 2

ID # COMPLETED: YES 1 DATE NO 2 ID # COMPLETED: YES 1 DATE NO 2 NEUROLOGICAL EXAM "Normal, Abnormal, Other, Can't execute or Missing for each question. If you circle "Abnormal" or Other, also check the appropriate reason why or explain

More information

The Neurological Examination Dr. Gary Mumaugh Western Physical Assessment

The Neurological Examination Dr. Gary Mumaugh Western Physical Assessment The Neurological Examination Dr. Gary Mumaugh Western Physical Assessment Common or Concerning Symptoms Headache Dizziness Generalized, proximal or distal weakness Numbness Abnormal or loss of sensations

More information

CRANIAL NERVE TESTING FOR THE PRIMARY CARE OPTOMETRIST

CRANIAL NERVE TESTING FOR THE PRIMARY CARE OPTOMETRIST CRANIAL NERVE TESTING FOR THE PRIMARY CARE OPTOMETRIST Hannah Shinoda, OD Caroline Ooley, OD, FAAO Assistant Professors Pacific University College of Optometry The authors have no financial interest in

More information

THE CENTRAL NERVOUS SYSTE M

THE CENTRAL NERVOUS SYSTE M THE CENTRAL NERVOUS SYSTE M Structure and Functio n THIRD EDITIO N PER BRODAL A Brief Survey, x i Studying the Structures and Function of the Nervous System, xii i Animal Experiments Crucial for Progress,

More information

Human Nervous System:

Human Nervous System: OLLI Brain: Making Sense of Our World: Lecture 3 Human Nervous System: The Motor & Sensory Divisions Copyright 2004 Pearson Education, Inc., publishing as Benjamin Cummings Organization of the Nervous

More information

Nervous System The Brain and Spinal Cord Unit 7b

Nervous System The Brain and Spinal Cord Unit 7b Nervous System The Brain and Spinal Cord Unit 7b Chetek High School Mrs. Michaelsen 9.12 Meninges A. Meninges 1. The organs of the CNS are covered by membranes a. The meninges are divided into 3 layers:

More information

what do the numbers really mean? NIHSS Timothy Hehr, RN MA Stroke Program Outreach Coordinator Allina Health

what do the numbers really mean? NIHSS Timothy Hehr, RN MA Stroke Program Outreach Coordinator Allina Health what do the numbers really mean? NIHSS Timothy Hehr, RN MA Stroke Program Outreach Coordinator Allina Health NIHSS The National Institutes of Health Stroke Scale (NIHSS) is a tool used to objectively quantify

More information

NEUROLOGICAL EXAMINATION (1) Dr. Sema Saltık Ass. Prof of Child Neurology

NEUROLOGICAL EXAMINATION (1) Dr. Sema Saltık Ass. Prof of Child Neurology NEUROLOGICAL EXAMINATION (1) Dr. Sema Saltık Ass. Prof of Child Neurology Neurological Examınatıon Consciousness level assessment, cooperation Disorders of speech and language Neck stiffness and evidences

More information

Nervous system Reflexes and Senses

Nervous system Reflexes and Senses Nervous system Reflexes and Senses Physiology Lab-4 Wrood Slaim, MSc Department of Pharmacology and Toxicology University of Al-Mustansyria 2017-2018 Nervous System The nervous system is the part of an

More information

Proceedings of the European Veterinary Conference Voorjaarsdagen

Proceedings of the European Veterinary Conference Voorjaarsdagen Close this window to return to IVIS www.ivis.org Proceedings of the European Veterinary Conference Voorjaarsdagen Apr. 13-15, 2016 Next Meeting: April 1 -, 201 The Hague, The Netherlands Reprinted in IVIS

More information

Neurologic Exam Evaluation Checklist (NEURO OSCE)

Neurologic Exam Evaluation Checklist (NEURO OSCE) Neurologic Exam Evaluation Checklist (NEURO OSCE) Student s Name: Date: _ Evaluator s Names: Examiner: Mark A if the step was done correctly Mark B if the step was done but if the technique was unsatisfactory

More information

Nervous System: An Introduction. HAP Susan Chabot Lemon Bay High School

Nervous System: An Introduction. HAP Susan Chabot Lemon Bay High School Nervous System: An Introduction HAP Susan Chabot Lemon Bay High School Function of the Nervous System 3 overlapping functions SENSORY INPUT - Monitor changes inside and outside of the body; these changes

More information

Motor, Reflex, Coordination and Sensory Screening Examination

Motor, Reflex, Coordination and Sensory Screening Examination Motor, Reflex, Coordination and Sensory Screening Examination K. Jeffrey Miller, DC, FACO, MBA Chiropractic Orthopaedist Miller 2002 Specializing in Spine and Nerve Rehabilitation Motor Function Lower

More information

Examination and Diseases of Cranial Nerves

Examination and Diseases of Cranial Nerves Cranial nerve evaluation is an important part of a neurologic exam. There are some differences in the assessment of cranial nerves with different species but the general principles are the same. Going

More information

Neurologic Examination

Neurologic Examination Neurologic Examination Professor Yasser Metwally www.yassermetwally.com 1 INDEX Click to view my video channel www.yassermetwally.info Equipment Needed Click to view imortanf online video clips General

More information

PHYSIOLOHY OF BRAIN STEM

PHYSIOLOHY OF BRAIN STEM PHYSIOLOHY OF BRAIN STEM Learning Objectives The brain stem is the lower part of the brain. It is adjoining and structurally continuous with the spinal cord. 1 Mid Brain 2 Pons 3 Medulla Oblongata The

More information

Neurological examinations made easy. Dr. H. A. M. Nazmul Ahasan Professor Department of Medicine Dhaka Medical College Hospital

Neurological examinations made easy. Dr. H. A. M. Nazmul Ahasan Professor Department of Medicine Dhaka Medical College Hospital Neurological examinations made easy Dr. H. A. M. Nazmul Ahasan Professor Department of Medicine Dhaka Medical College Hospital Introduction The aim of the neurological examination is to delineate the patient

More information

Unit VIII Problem 3 Neuroanatomy: Brain Stem, Cranial Nerves and Scalp

Unit VIII Problem 3 Neuroanatomy: Brain Stem, Cranial Nerves and Scalp Unit VIII Problem 3 Neuroanatomy: Brain Stem, Cranial Nerves and Scalp - Brain stem: It is connected to the cerebellum and cerebral hemispheres. Rostral end of brain stem: diencephalon is the area which

More information

Lab #10 Nervous System I

Lab #10 Nervous System I Page1 Nervous System I: Histology, Brain, & Reflexes Lab #10 Nervous System I Histology, Brain, & Reflexes Objectives: View slides of nervous tissue Observe the external and internal anatomy of the brain

More information

Chapter 13 & 14 The Peripheral Nervous System & the Autonomic Nervous System. Nervous System Organization

Chapter 13 & 14 The Peripheral Nervous System & the Autonomic Nervous System. Nervous System Organization Chapter 13 & 14 The Peripheral Nervous System & the Autonomic Nervous System 49 slides 1 Nervous System Organization Figure 13.1 Place of the PNS in the structural organization of the nervous system. 2

More information

Chapter 10. The Nervous System

Chapter 10. The Nervous System Chapter 10 The Nervous System Objectives List the organs and divisions of the nervous system and describe the generalized functions Identify the major types of cells in the nervous system and discuss the

More information

Neurophysiology Lab (Adapted From the Joy of Lab )

Neurophysiology Lab (Adapted From the Joy of Lab ) Neurophysiology Lab (Adapted From the Joy of Lab ) Introduction: The nervous system operates by receiving input, processing information, and then providing output. The input is detected by structures called

More information

Cesarean section for breech presentation. Jonathan H. Waters, M.D.

Cesarean section for breech presentation. Jonathan H. Waters, M.D. Cesarean section for breech presentation Jonathan H. Waters, M.D. 1 26 y.o. G1P0 presented to triage in labor at 38 weeks. Patient was a known breech with a failed version 5 days before presentation. PMH

More information

A review of neurological examinationdifferential. diseases in cats and dogs

A review of neurological examinationdifferential. diseases in cats and dogs A review of neurological examinationdifferential diagnosis for intracranial diseases in cats and dogs Picture source: https://www.fotolia.com/id/25810320 Authors: Raluca TURBATU, Cristina FERNOAGĂ, Nicolae

More information

The Nervous System: Central Nervous System

The Nervous System: Central Nervous System The Nervous System: Central Nervous System I. Anatomy of the nervous system A. The CNS & the body by: 1. monitoring of the body 2. & information between parts of the body 3. acting as a to gather, store,

More information

BRAIN STEM CASE HISTORIES CASE HISTORY VII

BRAIN STEM CASE HISTORIES CASE HISTORY VII 463 Brain stem Case history BRAIN STEM CASE HISTORIES CASE HISTORY VII A 60 year old man with hypertension wakes one morning with trouble walking. He is feeling dizzy and is sick to his stomach. His wife

More information

ID # COMPLETED: YES.. 1 DATE NO... 5 NEUROLOGICAL EXAM

ID # COMPLETED: YES.. 1 DATE NO... 5 NEUROLOGICAL EXAM ID # COMPLETED: YES.. 1 DATE NO... 5 NEUROLOGICAL EXAM VIDEOTAPED: YES.. 1 NO... 5 COMMENT: NEUROLOGICAL EXAM "Normal, Abnormal, Other, Can't execute or Missing for each question. Always complete specify

More information

Lab Activity 19 & 20. Cranial Nerves General Senses. Portland Community College BI 232

Lab Activity 19 & 20. Cranial Nerves General Senses. Portland Community College BI 232 Lab Activity 19 & 20 Cranial Nerves General Senses Portland Community College BI 232 Cranial Nerves Nerves that originate from the brain rather than the spinal cord Part of the peripheral nervous system

More information

Bellringer: The central nervous system is comprised of: What is the name of the outermost layer of the brain? a. Brain. b.

Bellringer: The central nervous system is comprised of: What is the name of the outermost layer of the brain? a. Brain. b. Bellringer: The central is comprised of: a. Brain b. Spinal cord c. Sensory receptors d. Both a and b What is the name of the outermost layer of the brain? a. Pia mater b. Dura mater c. Arachnoid d. Pons

More information

General Procedure and Rules

General Procedure and Rules General Procedure and Rules PROCEDURE Description: This assessment is a measure of upper extremity (UE) and lower extremity (LE) motor and sensory impairment. Equipment: A chair, bedside table, reflex

More information

Peripheral Nervous System

Peripheral Nervous System Peripheral Nervous System Sensory Receptors Motor Endings Cranial Nerves The Four Plexuses Extremities Review of Reflexes Fast, preprogrammed, inborn, automatic responses Occur in the CNS at the spinal

More information

Brain and Cranial Nerves (Ch. 15) Human Anatomy lecture. caudal = toward the spinal cord)

Brain and Cranial Nerves (Ch. 15) Human Anatomy lecture. caudal = toward the spinal cord) Insight: Some cranial nerve disorders Brain and Cranial Nerves (Ch. 15) Human Anatomy lecture I. Overview (Directional terms: rostral = toward the forehead caudal = toward the spinal cord) A. 3 Major parts

More information

1/10/2013. What do neurons look like? Topic 14: Spinal Cord & Peripheral Nerves. How do neurons work? The nervous impulse. Specialized Neurons

1/10/2013. What do neurons look like? Topic 14: Spinal Cord & Peripheral Nerves. How do neurons work? The nervous impulse. Specialized Neurons Topic 4: Spinal Cord & Peripheral Nerves What do neurons look like? Neurons What do they look like? How do they work? Neuronal and spinal organization What is the difference between neuron & nerve? How

More information

FILED: NEW YORK COUNTY CLERK 04/12/ :57 PM INDEX NO /2011 NYSCEF DOC. NO RECEIVED NYSCEF: 04/12/2018

FILED: NEW YORK COUNTY CLERK 04/12/ :57 PM INDEX NO /2011 NYSCEF DOC. NO RECEIVED NYSCEF: 04/12/2018 ' NYNeurological.- 't Associates, P.C. e 3He e a David Dc vld Snyder, M.D. Emilio Oribe, M.D., F.A.C.P Tonya FOtiml, M.D. Yvonne Zoharckis, M,b. www.nynapc.com July 3, 2017 Sabatini 4 Associates 237 West

More information

Chiari Malformation: Diagnosis

Chiari Malformation: Diagnosis Chiari Malformation: Diagnosis SYMPTOMS DIAGNOSIS LIVING WITH CHIARI TREATMENT Rick Labuda, Executive Director director@conquerchiari.org 724-940-0116 Disclaimer: This presentation is intended for informational

More information

SARASOTA MEMORIAL HOSPITAL. NURSING PROCEDURE NATIONAL INSTITUTE OF HEALTH STROKE SCALE (neu04) Nursing

SARASOTA MEMORIAL HOSPITAL. NURSING PROCEDURE NATIONAL INSTITUTE OF HEALTH STROKE SCALE (neu04) Nursing SARASOTA MEMORIAL HOSPITAL TITLE: ISSUED FOR: NURSING PROCEDURE NATIONAL INSTITUTE OF HEALTH Nursing DATE: REVIEWED: PAGES: PS1094 7/01 3/18 1 of 5 RESPONSIBILITY: RN, LPN PURPOSE: OBJECTIVE: DEFINITION:

More information

4/5/2015. Peripheral nervous system (PNS)

4/5/2015. Peripheral nervous system (PNS) Peripheral Nervous System Learn and Understand: Peripheral nerves connect the edges of the body and outside world to the CNS. Most nerves carry specific types of information to/from specific locations.

More information

Principles of Anatomy and Physiology

Principles of Anatomy and Physiology Principles of Anatomy and Physiology 14 th Edition CHAPTER 14 The Brain and Cranial Nerves Introduction The purpose of the chapter is to: 1. Understand how the brain is organized, protected, and supplied

More information

Peripheral Nervous System Dr. Gary Mumaugh

Peripheral Nervous System Dr. Gary Mumaugh Peripheral Nervous System Dr. Gary Mumaugh Spinal Nerves Overview Thirty-one pairs of spinal nerves are connected to the spinal cord No special names; numbered by level of vertebral column at which they

More information

Lab 16: PNS: Nerves and Autonomic NS Hamilton Answers to Pre- Lab Assignments

Lab 16: PNS: Nerves and Autonomic NS Hamilton Answers to Pre- Lab Assignments Lab 16: PNS: Nerves and Autonomic NS Hamilton Answers to Pre- Lab Assignments Pre-Lab Activity 1: 1. a. olfactory nerve b. optic nerve c. oculomotor nerve d. abducens nerve e. trochlear nerve f. trigeminal

More information

The Brain and Cranial Nerves Pg. 129

The Brain and Cranial Nerves Pg. 129 The Brain and Cranial Nerves Pg. 129 Three Main Regions of the Brain Forebrain Cerbral hemispheres Diencephalon Midbrain Brain stem Hindbrain Pons Cerebellum Medulla oblongata Forebrain Interprets sensory

More information

PERIPHERAL NERVOUS SYSTEM

PERIPHERAL NERVOUS SYSTEM CHAPTER 13 PERIPHERAL NERVOUS SYSTEM Functional division of nervous system = afferent info to the CNS ascending spinal cord = efferent info from CNS descending spinal cord somatic skin, muscles visceral

More information

Neurocritical Care Basics. Tapan Kavi, MD Christina Fox, RN

Neurocritical Care Basics. Tapan Kavi, MD Christina Fox, RN Neurocritical Care Basics Tapan Kavi, MD Christina Fox, RN GOAL 1: DON T LET THE PATIENT DIE Not unique ACLS, ATLS, ENLS, other strategies common to all emergency medical care ABCs MORE not less important

More information

Synapse Homework. Back page last question not counted. 4 pts total, each question worth 0.18pts. 26/34 students answered correctly!

Synapse Homework. Back page last question not counted. 4 pts total, each question worth 0.18pts. 26/34 students answered correctly! Synapse Homework Back page last question not counted 26/34 students answered correctly! 4 pts total, each question worth 0.18pts Business TASS hours extended! MWF 1-2pm, Willamette 204 T and Th 9:30-10:30am,

More information

Introduction to the Organization of the Brain 98% of the body s neural tissue is in the brain

Introduction to the Organization of the Brain 98% of the body s neural tissue is in the brain Introduction to the Organization of the Brain 98% of the body s neural tissue is in the brain An avg. human brain weighs 1.4 kg (3lbs.) and has a volume of 1200 cc brains average about 10% bigger than

More information

Cranial Nerves. Steven McLoon Department of Neuroscience University of Minnesota

Cranial Nerves. Steven McLoon Department of Neuroscience University of Minnesota Cranial Nerves Steven McLoon Department of Neuroscience University of Minnesota 1 Course News Change in Lab Sequence Week of Oct 2 Lab 5 Week of Oct 9 Lab 4 2 Sensory and Motor Systems Sensory Systems:

More information

COMA. DIAH MUSTIKA HW,SpS,KIC INTENSIVE CARE UNIT of EMERGENCY DEPARTMENT

COMA. DIAH MUSTIKA HW,SpS,KIC INTENSIVE CARE UNIT of EMERGENCY DEPARTMENT COMA DIAH MUSTIKA HW,SpS,KIC INTENSIVE CARE UNIT of EMERGENCY DEPARTMENT NAVAL HOSPITAL dr RAMELAN, SURABAYA DEFINITIONS Coma State of unresponsiveness to external or internal stimuli in which a patient

More information

Neurological Assessment Tips

Neurological Assessment Tips Neurological Assessment Tips If a patient develops any decrease in level of consciousness, the priority is to promptly identify and treat any alterations in ABCGS (Airway, Breathing, Circulation, Glucose

More information

Chapter 13: The Peripheral Nervous System

Chapter 13: The Peripheral Nervous System Chapter 13: The Peripheral Nervous System Objectives: 1. Define peripheral nervous system and list its components. 2. Classify general sensory receptors by structure, stimulus detected, and body location.

More information

Structure, function and assessments of cranial nerves: Part 1 (CN 1-7) MSTN121 - Neurophysiology Session 12 Department of Myotherapy

Structure, function and assessments of cranial nerves: Part 1 (CN 1-7) MSTN121 - Neurophysiology Session 12 Department of Myotherapy Structure, function and assessments of cranial nerves: Part 1 (CN 1-7) MSTN121 - Neurophysiology Session 12 Department of Myotherapy Session objectives List the four functions of the cranial nerves (CNs).

More information

NEUROLOGIC EXAMINATION

NEUROLOGIC EXAMINATION Página 1 de 6 NEUROLOGIC EXAMINATION Part of "1 - NEUROPSYCHIATRIC EXAMINATION" The neurologic examination complements the clinical history and mental status examinations that preceded it (3). In the neurologic

More information

Gary Rea MD PhD Medical Director OSU Comprehensive Spine Center

Gary Rea MD PhD Medical Director OSU Comprehensive Spine Center Gary Rea MD PhD Medical Director OSU Comprehensive Spine Center 1. The less specific the patient is about symptoms and pain, the less likely a specific diagnosis will be made and the less likely the patient

More information

Lesson 6.4 REFLEXES AND PROPRIOCEPTION

Lesson 6.4 REFLEXES AND PROPRIOCEPTION Lesson 6.4 REFLEXES AND PROPRIOCEPTION (a) The Reflex Arc ~ ~ ~ TOPICS COVERED IN THIS LESSON (b) Proprioception and Proprioceptors 2015 Thompson Educational Publishing, Inc. 1 What Are Reflexes? Reflexes

More information

NS201C Anatomy 1: Sensory and Motor Systems

NS201C Anatomy 1: Sensory and Motor Systems NS201C Anatomy 1: Sensory and Motor Systems 25th January 2017 Peter Ohara Department of Anatomy peter.ohara@ucsf.edu The Subdivisions and Components of the Central Nervous System Axes and Anatomical Planes

More information

The Neurologic Examination. John W. Engstrom, M.D. University of California San Francisco School of Medicine

The Neurologic Examination. John W. Engstrom, M.D. University of California San Francisco School of Medicine The Neurologic Examination John W. Engstrom, M.D. University of California San Francisco School of Medicine Overview The Neurologic Examination Mental status demonstration/questions Cranial nerves demonstration/questions

More information

PHYSIOLOGY OF THE BRAIN STEM

PHYSIOLOGY OF THE BRAIN STEM PHYSIOLOGY OF THE BRAIN STEM Dr Syed Shahid Habib Professor & Consultant Clinical Neurophysiology Dept. of Physiology College of Medicine & KKUH King Saud University OBJECTIVES At the end of this lecture

More information

Year 2 MBChB Clinical Skills Session Examination of the Motor System

Year 2 MBChB Clinical Skills Session Examination of the Motor System Year 2 MBChB Clinical Skills Session Examination of the Motor System Reviewed & ratified by: o o o o Dr D Smith Consultant Neurologist Dr R Davies Consultant Neurologist Dr B Michael Neurology Clinical

More information

A&P 1 Brain & Cranial Nerves Guide #1 - Pre-Lab Exercises

A&P 1 Brain & Cranial Nerves Guide #1 - Pre-Lab Exercises A&P 1 Brain & Cranial Nerves Guide #1 - Pre-Lab Exercises In this "Pre-lab Guide", we will be looking at the brain & cranial nerves. This should be done before lab, so we don't waste time in lab! This

More information

The Brain and Cranial Nerves Pg Three Main Regions of the Brain. Forebrain

The Brain and Cranial Nerves Pg Three Main Regions of the Brain. Forebrain The Brain and Cranial Nerves Pg. 129 Three Main Regions of the Brain Forebrain Cerbral hemispheres Diencephalon Midbrain Brain stem Hindbrain Pons Cerebellum Medulla oblongata Interprets sensory inputs

More information

CRANIAL NERVES. Dr. Amani A. Elfaki Associate Professor Department of Anatomy

CRANIAL NERVES. Dr. Amani A. Elfaki Associate Professor Department of Anatomy CRANIAL NERVES Dr. Amani A. Elfaki Associate Professor Department of Anatomy LEARNING OBJECTIVES Named the cranial nerves Identify the funcunal component of each cranial nerve Identify the effect of each

More information

JEFFERSON COLLEGE COURSE SYLLABUS OTA145 APPLIED NEUROLOGY. 4 Credit Hours

JEFFERSON COLLEGE COURSE SYLLABUS OTA145 APPLIED NEUROLOGY. 4 Credit Hours JEFFERSON COLLEGE COURSE SYLLABUS OTA145 APPLIED NEUROLOGY 4 Credit Hours Prepared by: Lisa Martin MS, OTR/L Occupational Therapy Assistant Program Director Revised Date: June 2014 By: Lisa Martin Dena

More information

CARES Targeted Temperature Management (TTM) Module

CARES Targeted Temperature Management (TTM) Module CARES Targeted Temperature Management (TTM) Module OHCA Data Dictionary June 2014 1 CASE NUMBER This is the number assigned to the patient by the hospital. The case number is the number the hospital assigns

More information

Our senses provide us with wonderful capabilities. If you had to lose one, which would it be?

Our senses provide us with wonderful capabilities. If you had to lose one, which would it be? Our senses provide us with wonderful capabilities. If you had to lose one, which would it be? Neurological disorders take away sensation without a choice! http://neuroscience.uth.tmc.edu/s2/chapter04.html

More information

Cancer Rehabilitation New Patient Intake Form

Cancer Rehabilitation New Patient Intake Form _ I. Personal Information Date of Birth Age: Home Address: Home Phone: Cell Phone: Office Phone: Fax: E-Mail: II. Chief Complaint Please describe the major problem that brings you in today: Who referred

More information

Zahid H. Bajwa, MD. Boston Headache Institute Boston PainCare HMS 2018

Zahid H. Bajwa, MD. Boston Headache Institute Boston PainCare HMS 2018 Zahid H. Bajwa, MD Boston Headache Institute Boston PainCare HMS 2018 Zahid H. Bajwa, M.D. Director, Boston Headache Institute Director, Clinical Research, Boston PainCare ZBAJWA@BOSTONPAINCARE.COM BOARD

More information

Infant Reflexes and Stereotypies. Chapter 9

Infant Reflexes and Stereotypies. Chapter 9 Infant Reflexes and Stereotypies Chapter 9 Infant reflexes and stereotypies are very important in the process of development Importance of Infant Reflexes Reflexive movements occur during the last 4 months

More information

Sensation and Perception. 8.2 The Senses

Sensation and Perception. 8.2 The Senses Sensation and Perception 8.2 The Senses I. Introduction A. You probably think that you have just five senses: vision, hearing, taste, smell, and touch. In addition, people have two more internal senses:

More information