BRAIN STEM CASE HISTORIES CASE HISTORY VII
|
|
|
- Jean Preston
- 5 years ago
- Views:
Transcription
1 463 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 gets him into the car and brings him to the emergency room where you are asked to evaluate him. On the way to the emergency room his wife noted that his face seemed to be drooping on the right. On examination you find that the man is quite uncomfortable and prefers to be lying still rather than trying to cooperate with the exam. His mental status is appropriate. His pupillary exam is normal but he cannot look to the right with either the left or the right eye. The corneal reflex is abnormal on the right. Although he feels the cornea being touched he does not close his right eye. His left eye does close to right corneal stimulation. The right side of his face is weak and he has marked loss of right sided hearing. His gag reflex is intact. He is unable to walk and has right upper extremity intention tremor. When you sit him up he falls to the right. His reflexes and strength are intact in all limbs. QUESTIONS CASE HISTORY VII 1). Where is the lesion, and what structures are responsible for his symptoms and signs? 2). What is the etiology of the lesion?
2 Brain stem 464 Case histroy 3). How can the lesion be confirmed? 4). What treatment should be considered? What treatments may be developed to treat stroke?
3 465 Brain stem Case history CASE HISTORY VIII A 55-year-old woman noticed that she suddenly became nauseated and experienced vertigo. Her voice was hoarse and she was having difficulty swallowing. She also noticed a burning pain in and around the LEFT eye. Three days later the pain had subsided but she decided to see a neurologist. On her way to the hospital she started hiccuping and her husband noticed that her pupils were not symmetrical. Upon examination it was found that both muscle tone and reflexes were normal and equal in all four extremities. The nausea and vertigo had subsided and no nystagmus was present. Taste was normal on both sides of the tongue. There was NO detectable paralysis of the jaws, facial muscles, or tongue, but an inspection of the pharynx showed that the uvula was directed toward the RIGHT. Laryngoscope investigation also suggested paralysis of the LEFT vocal cord. There was loss of pain and temperature sensations on the LEFT side of the face and RIGHT side of the entire trunk including the arm and leg. The exam revealed that her LEFT pupil was smaller than the right and the LEFT side of her face was dryer and warmer than the right side. The patient tended to fall to the left on standing and had a left upper extremity intention tremor. The patient was no longer hiccuping. QUESTIONS CASE HISTORY VIII 1). Where is the lesion, and what structures are responsible for his symptoms and signs? 2). What is the etiology of the lesion?
4 Brain stem 466 Case histroy CASE HISTORY IX A young girl, aged 14, was admitted to the hospital for diagnosis. According to the history, her birth had been normal and uncomplicated. There had been no unusual illness or accidents during her childhood, and her growth and development were normal. About a year before this admission, the girl began to complain of ringing or buzzing in her RIGHT ear, a condition which had persisted since. As time went on the girl began to experience vertigo (sensation of turning) and nausea. When walking she tended to veer to the RIGHT. Examination revealed that there was almost 100 percent loss of hearing in the RIGHT ear. Sometimes there was a spontaneous slow conjugate movement of the eyes to the RIGHT, and a fast return movement to the LEFT. When there was no spontaneous nystagmus, caloric stimulation of the RIGHT ear with either cold or hot water had NO effect. However, stimulation of the LEFT ear with COLD water resulted in RIGHT nystagmus while stimulation with WARM water elicited LEFT nystagmus. All muscles on the RIGHT side of her face showed evidence of weakness. There was a loss of taste from the RIGHT side of the tongue and a dry (no tears) RIGHT eye. Some incoordination of the RIGHT arm and leg was also apparent. QUESTIONS CASE HISTORY VIII 1). Where is the lesion, and what structures are responsible for his symptoms and signs? 2). What is the etiology of the lesion?
5 467 Brain stem Case history CASE HISTORY X Upon examining a 55 year old male, the neurologist found weakness of the RIGHT arm and leg; a Babinski sign was present (plantar reflex was extensor). Examination of the tongue in the mouth revealed no atrophy or wrinkling, but upon protrusion the tongue deviated to the RIGHT. There was marked weakness of muscles in the lower half of the face on the RIGHT, but no atrophy of these muscles. There was a ptosis of the LEFT eyelid. When the neurologist lifted the eyelid, the pupil was dilated and the eye was turned down and out. HINT! THERE IS ONE LESION SITE. QUESTIONS CASE HISTORY VIII 1). Where is the lesion, and what structures are responsible for his symptoms and signs? 2). What is the etiology of the lesion?
6 Brain stem 468 Case histroy CASE HISTORY XI A 56 year old woman has a long history of numbness in and clumsiness of her hands. Initially the numbness started in her right hand but progressed slowly to include both hands and both arms. Over the past year the numbness has actually included the shoulders, neck, scalp and most recently has included the area of the face next to the hairline and the angle of the jaw. Besides the numbness, she has noted increasing difficulty in opening jars and over the past 2-3 years has had trouble brushing her hair. Most recently she has begun to have trouble with slurred speech, swallowing, and a hoarse voice. Her other complaints include trouble with walking. It seems that she is having trouble with tripping over her toes. She also states that she urinates times per day and that she needs to get to the rest room quickly otherwise she can loose her urine. She has smoked cigarettes for many years and recently stopped because she has burned her fingers a number of times. She had to have a skin graft of her right hand because of a severe burn she sustained from a stove. Her exam revealed a normal mental status. Cranial nerve exam showed a decrease in pin prick sensation at the hair line and angle of the jaw with some extension into the V nerve distribution. The palate moved poorly and her voice had a nasal characteristic. Her gag reflex was depressed. There has some atrophy of the left side of her tongue with fasciculations noted. Motor exam revealed diffuse weakness and atrophy of the upper extremities. There were some fasciculations noted in the biceps bilaterally. The reflexes in the upper extremity were barely obtained. In the lower extremity there was mild weakness and increased tone and reflexes. Bilateral Babinski signs were noted. The patient s gait was stiff and she could not walk on her heels. Sensory exam in the lower extremities was normal. The sensation in the upper extremities was intact to vibration and joint position sense but she could not feel pin prick in either upper extremity or across the shoulders, the neck or the scalp. QUESTIONS CASE HISTORY XI 1. Where is the lesion and how can you explain the patient s complaints and the findings on exam?
7 469 Brain stem Case history 2. What are the possible etiologies? 3. How would you evaluate this patient?
8 Brain stem 470
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
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
Upper and Lower Motoneurons for the Head Objectives
Upper and Lower Motoneurons for the Head Objectives Know the locations of cranial nerve motor nuclei Describe the effects of motor cranial nerve lesions Describe how the corticobulbar tract innervates
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
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
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
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
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
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
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
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
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
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.
Patient Information. Refurredby. Emergency Contact. Have you ever had chiropractic care before? For what problem? No ----
Patient Information Name ----------------------------------------------------------- Address --------------------------------------------------------- City State Zip Home Phone -------------------------
Please fill out the following form in as much detail as possible. Please Print. Name. Address. City State Zip. Home Phone Office Phone.
CASE NO. Please fill out the following form in as much detail as possible. Please Print Date Name Address City State Zip Home Phone Office Phone E-mail Address Age Date of Birth Occupation Sex (M) (F)
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
Neurological Assessment Part 1
Neurological Assessment Part 1 MOTOR EXAMINATION: Look at bulk, contour and symmetry of individual muscles: muscles of face upper arm arm thigh lower leg Look for atrophy--may help to localize the site
Neuroanatomy of a Stroke. Joni Clark, MD Professor of Neurology Barrow Neurologic Institute
Neuroanatomy of a Stroke Joni Clark, MD Professor of Neurology Barrow Neurologic Institute No disclosures Stroke case presentations Review signs and symptoms Review pertinent exam findings Identify the
The NIHSS score is 4 (considering 2 pts for the ataxia involving upper and lower limbs.
Neuroscience case 5 1. Speech comprehension, ability to speak, and word use were normal in Mr. Washburn, indicating that aphasia (cortical language problem) was not involved. However, he did have a problem
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:
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
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
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
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
History & Observation
History & Observation Examination Algorithm for Trauma/Whiplash or Signs and or Symptoms Ascribable to VBI or Upper Cervical Instability If Noncardinal Syx/Signs continue testing: Blurred vision Severe
EXAMINER S MARKING SHEET
3.Approach to patient: 2.Content of consultation 1.Process & structure of consultation EXAMINER S MARKING SHEET STUDENT LABEL STATION NO: Choose an item. Assessor No: 1 2 OSCE: Phase 2 Summative Click
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
Functional Distinctions
Functional Distinctions FUNCTION COMPONENT DEFICITS Start Basal Ganglia Spontaneous Movements Move UMN/LMN Cerebral Cortex Brainstem, Spinal cord Roots/peripheral nerves Plan Cerebellum Ataxia Adjust Cerebellum
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
Spinal Cord: Clinical Applications. Dr. Stuart Inglis
Spinal Cord: Clinical Applications Dr. Stuart Inglis Tabes dorsalis, also known as syphilitic myelopathy, is a slow degeneration (specifically, demyelination) of the nerves in the dorsal funiculus of the
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
How to Think like a Neurologist Review of Exam Process and Assessment Findings
Lehigh Valley Health Network LVHN Scholarly Works Neurology Update for the Non-Neurologist 2013 Neurology Update for the Non-Neurologist Feb 20th, 5:10 PM - 5:40 PM How to Think like a Neurologist Review
QUESTIONS CASE HISTORY XII
615 Case History XII A 80 year old ex-president of the United States was out riding his horse when the horse stumbled and the ex-president fell off the horse hitting his head on the ground. He did not
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).
Case 1. Discuss this case in term of CNS location and causes of these manifestation. Case 2
Case 1 A 40-year-old man presents to the psychiatry emergency room for inappropriate behavior and confusion. He works as a janitor and has had reasonably good work attendance. His coworkers say that he
INTRODUCTION: ANATOMY UNDERLYING CLINICAL TESTS OF CRANIAL NERVES
INTRODUCTION: ANATOMY UNDERLYING CLINICAL TESTS OF CRANIAL NERVES CRANIAL NERVE I - OLFACTORY I - OLFACTORY NERVE - SMELL TEST: SMELL ODORS (note: not ammonia; pain in nasal cavity CN5 DAMAGE: LOSS OF
Cases For Teaching Second Year Medical Students. Head and neck and neuroanatomy. 2- What is the anatomical explanation for her symptoms?
Head and neck and neuroanatomy Case 1: (RECURRENT LARYNGEAL NERVE INJURY) A 35-year-old woman complains of a 2-month history of hoarseness of her voice and some choking while drinking liquids. She denies
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
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
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
- speech-~echanism Assessment tion, a small dental mirror and gauze pads may be necessary. Before putting the gloves on, clean the table with disinfectant and wash your hands thoroughly with antibacterial
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
Questionnaire for Lipedema Patients
Questionnaire for Lipedema Patients Name Date of diagnosis Date Name of physician making diagnosis Do you also have lymphedema? What areas of the body are affected? Outside of thighs Inner thighs Knees
PATIENT NAME: DATE: Phone#: On the diagram below, please shade the areas of pain:
PATIENT INTAKE: TMJ HISTORY PATIENT NAME: DATE: EMAIL: Phone#: On the diagram below, please shade the areas of pain: Date your symptoms began: What symptoms are you experiencing in your jaw? Right or Left:
Program Script. Nursing Assessment The Head-to-Toe Assessment
Program Script Nursing Assessment The Head-to-Toe Assessment This document comprises the complete script for this program including chapter titles. This is provided to instructors to enhance the educational
Lyme Disease Specific Symptoms
Did you have: Please indicate yes or no (Y / N) and/or date month/year tick bite spotted rash over large area circular or bull-eye rash linear red streaks Lyme test date(s) mm/year Results: (positive +,
ABOUT THIS MEDICATION What are these drugs used for? Docetaxel is an anticancer drug used to treat cancers in the area of the neck and throat.
For the Patient: HNAVDOC Treatment of Recurrent or Metastatic Squamous Cell Cancer of the Head and Neck with docetaxel HN=Head and Neck AV=Advanced DOC=Docetaxel ABOUT THIS MEDICATION What are these drugs
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
Case 1 A 65 year old college professor came to the neurology clinic referred by her family physician because of frequent falling. She had a history of
Peripheral Nervous System Case 1 A 65 year old college professor came to the neurology clinic referred by her family physician because of frequent falling. She had a history of non-insulin dependent diabetes
CONSULTATION ADMITTANCE FORM
CONSULTATION ADMITTANCE FORM Last Name: First Name: Address: City Postal Code: Home Phone: Work Phone: Age: Birth date (dd/mm/yr): Sex: M / F Height Weight Occupation: Alberta Health Care #: PLEASE CHECK
NEW PATIENT QUESTIONNAIRE For Dr Benoy Benny. Section 1: Today s Date: Date of Birth: Age:
Baylor Physical Medicine and Rehabilitation NEW PATIENT QUESTIONNAIRE For Dr Benoy Benny Dear Patient: Please complete this questionnaire before you come for your appointment. Be sure to call us as soon
Puritz Chiropractic Center Patient Health Questionnaire
PERSONAL INFORMATION Puritz Chiropractic Center Today's Date: File #: First Name: Middle Initial: Last Name: Preferred First Name / Nickname: Social Security #: - - Are you: right handed left handed ambidextrous
Amarillo Surgical Group Doctor: Date:
Office Visit Information (General Surgery) Amarillo Surgical Group Doctor: Date: Patient s Information Name: Last First Middle Social Security #: Date of Birth: Age Gender: [ Male / Female ] Marital Status:
Acute Vestibular Syndrome (VS or Stroke?) Three-step H.I.N.T.S. eye examination
Acute Vestibular Syndrome (VS or Stroke?) Three-step H.I.N.T.S. eye examination Head Impulse (right- and leftward) Nystagmus type Test of Skew (cover test for skew deviation) Stroke findings: I.N.F.A.R.C.T.
PERSONAL INJURY QUESTIONNAIRE
PERSONAL INJURY QUESTIONNAIRE Name Phone ( ) Age Birth Date Sex S.S.N. Employer Address Did you report this to YOUR Car Insurance? Yes No (Circle One) Your Car Insurance Co. is Claim # Claims Adjuster
OVER- REACT. HOW MANY OF THE 10 STROKE SYMPTOMS DO YOU KNOW? Learn them inside > If you suspect STROKE, CALL 911 immediately
OVER- REACT We were out with friends when my husband suddenly had trouble walking. I suspected stroke, so I CALLED 911 IMMEDIATELY. It helped save his life. If you suspect STROKE, CALL 911 immediately
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
CN V! touch! pain! Touch! P/T!
CN V! touch! pain! Touch! P/T! Visual Pathways! L! R! B! A! C! D! LT! E! F! RT! G! hypothalamospinal! and! ALS! Vestibular Pathways! 1. Posture/Balance!!falling! 2. Head Position! 3. Eye-Head Movements
U n i f i e d P a r k i n s o n s D i s e a s e R a t i n g S c a l e ( U P D R S )
Patient last name:................................. Date of birth:.... /.... /........ Patient first name:................................. Date:.... /.... /........ U n i f i e d P a r k i n s o n s D
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
The Neurological System. Neurological Exam 5 Components. Mental Status Examination
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
Laryngoscopy Examinations
Laryngoscopy Examinations Laryngoscopy is a visual examination of the back of the throat where the voice box (larynx) and vocal cords are located. The procedure is done by using hand mirrors and a light
WHY SENSORY SKILLS AND MOTOR SKILLS MATTER
WHY SENSORY SKILLS AND MOTOR SKILLS MATTER Dr. Val L. Scaramella-Nowinski Pediatric Neuropsychology The following gives a brief understanding of sensory brain connections and movement brain connections
Vestibular System. Dian Yu, class of 2016
Vestibular System Dian Yu, class of 2016 Objectives 1. Describe the functions of the vestibular system: What is it? How do you stimulate it? What are the consequences of stimulation? 2. Describe the vestibular
CENTRAL CARE POLICY SYMPTOMS OF ILLNESS. Policy: Consumers will be observed for symptoms of physical problems, distress, pain, or unusual behaviors.
Page 1 of 5 CENTRAL CARE POLICY SYMPTOMS OF ILLNESS SUBJECT: SYMPTOMS OF ILLNESS ANNUAL REVIEW MONTH: June RESPONSIBLE FOR REVIEW: Director of Central Care LAST REVISION DATE: June 2009 Policy: Consumers
Data Collection Worksheets
Data Collection Worksheets PhenX Measure: Antipsychotic Medication Extrapyramidal Side Effects (#661600) PhenX Protocol: Antipsychotic Medication Extrapyramidal Side Effects (#661601) Date of Interview/Examination/Bioassay
Auditory System Case Histories
574 Auditory System Case Histories CASE 1: A 14-year old girl is brought to the emergency room by her mother who tells you that she thinks her daughter poked something in her ear. The girl states that
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
International Childbirth Education Association. Postpartum Doula Program
International Childbirth Education Association Postpartum Doula Program Part 5: Newborn Appearance Objectives: Describe general newborn appearance. Identify possible newborn skin conditions. Summarize
PERSONAL HISTORY AUTO ACCIDENT QUESTIONNAIRE. Personal Injury Questionnaire. Name Date. Date of Accident: Time. Location of Accident (Streets)
Personal Injury Questionnaire Patient# HISTORY OF OCCURRENCE Name Date Date of Accident: Time Location of Accident (Streets) As a result of the accident you were: Rendered unconscious In shock Dazed, circumstances
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
Adult Health Questionnaire
Health for Life Chiropractic At Cloverdale Mall Unit #143-250 The East Mall Etobicoke, ON, M9B 3Y8 416-232-1822 416-232-0060 Dr. Chrystopher Sly B.Sc, D.C. Dr. Jesse Cracknell B.A., D.C. Adult Health Questionnaire
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
CLINICAL VIGNETTES FOR A LIFETIME (I HOPE!!)
CLINICAL VIGNETTES FOR A LIFETIME (I HOPE!!) As you near completion of this course I want you to begin to think in terms of Case Vignettes instead of facts. In the front of Module 3 I have included the
HEAD AND NECK ANATOMY PRACTICE QUESTIONS
HEAD AND NECK ANATOMY PRACTICE QUESTIONS 1. A patient complains that he has lost sensation on his face and that the skin of his face feels numb. The physician tests tactile acuity by touching the forehead
SECTION OF NEUROSURGERY PATIENT INFORMATION SHEET
SECTION OF NEUROSURGERY PATIENT INFORMATION SHEET EC#: (for office use only) Patient s Name: Today s Date: Age: Date of Birth: Height: Weight: Physician you are seeing today: Marital Status: Married Work
Patient Re-Examination Form
Harrisburg Family Chiropractic 220 S. Cliff Ave. Ste 106 Harrisburg SD 57032 (605) 767-7463 Name: Date: / / Patient Re-Examination Form Please fill out the information that has changed since your last
PERSONAL INJURY QUESTIONNAIRE
PERSONAL INJURY QUESTIONNAIRE Name Date of Birth Age Address City State Zip NATURE OF ACCIDENT: 1. Date of Accident Time of Day (AM / PM) 2. Please state how the accident happened in your own words: 3.
Power Line to your Line to your Circuit Line to the station neighborhood house breaker living room. Outlet lamp Lamp with socket, Light bulb
IMC 606 Neuroscience and Behavior Module Dr. Margaret Paroski Analysis of Sensory Lesions You walk into your living room and turn on the lamp. But no light comes on. What would you do? You would probably
Inside Your Patient s Brain Michelle Peterson, APRN, CNP Centracare Stroke and Vascular Neurology
Inside Your Patient s Brain Michelle Peterson, APRN, CNP Centracare Stroke and Vascular Neurology Activity Everyone stand up, raise your right hand, tell your neighbors your name 1 What part of the brain
P1: OTA/XYZ P2: ABC c01 BLBK231-Ginsberg December 23, :43 Printer Name: Yet to Come. Part 1. The Neurological Approach COPYRIGHTED MATERIAL
Part 1 The Neurological Approach COPYRIGHTED MATERIAL 1 2 Chapter 1 Neurological history-taking The diagnosis and management of diseases of the nervous system have been revolutionized in recent years by
Re-Exam Questionnaire
Re-Exam Questionnaire Patient Name: Date: The following hi-lighted symptoms are what brought you into our office originally. DIRECTIONS: Please rate ALL hi-lighted symptoms: S = same; B = better; W = worse
Cranial Nerves VII to XII
Cranial Nerves VII to XII MSTN121 - Neurophysiology Session 13 Department of Myotherapy Cranial Nerve VIII: Vestibulocochlear Sensory nerve with two distinct branches. Vestibular branch transmits information
PAGE 1 NEURO-OPHTHALMIC QUESTIONNAIRE NAME: AGE: DATE OF EXAM: CHART #: (Office Use Only)
PAGE 1 NEURO-OPHTHALMIC QUESTIONNAIRE NAME: AGE: DATE OF EXAM: CHART #: (Office Use Only) 1. What is the main problem that you are having? (If additional space is required, please use the back of this
For the Patient: LUAVNP
For the Patient: LUAVNP Other Names: Treatment of Advanced n-small Cell Lung Cancer with Cisplatin and Vinorelbine LU = LUng AV = AdVanced NP = Navelbine (Vinorelbine), cisplatin ABOUT THIS MEDICATION
Stroke Workshop. Pre-Workshop Handout. With Walter Himmel, Meeta Patel & Anton Helman
2018 Stroke Workshop Pre-Workshop Handout With Walter Himmel, Meeta Patel & Anton Helman Instructions for Getting the Most Out of The EMU Stroke Workshop Handout This workshop has been designed around
How to Do the EDSS. Stephen S. Kamin, MD New Jersey Medical School
How to Do the EDSS Stephen S. Kamin, MD New Jersey Medical School John F. Kurtzke, MD 1926-2015 EDSS Expanded Disability Status Scale Devised by John Kurtzke in the 1960s and modified in the 1980s EDSS
Sensory Pathways & Somatic Nervous System. Chapter 15
Sensory Pathways & Somatic Nervous System Chapter 15 How Does Brain Differentiate Sensations? Pain impulses make brain aware of injuries and infections. Impulses from eye, ear, nose and tongue make brain
AUTO ACCIDENT QUESTIONNAIRE
AUTO ACCIDENT QUESTIONNAIRE Name Date of Birth Age Address City State Zip NATURE OF ACCIDENT: 1. Date of Accident Time of Day (AM / PM) 2. Were you the ( ) Driver or ( ) Passenger? 3. If a passenger were
CHIROPRACTIC CENTER OF ANNAPOLIS 108 Old Solomons Island Rd., Bldg. 2 Annapolis, MD (410) Dr. William J. Boro Dr. Mary X.
CHIROPRACTIC CENTER OF ANNAPOLIS 108 Old Solomons Island Rd., Bldg. 2 Annapolis, MD 21401 (410) 266-5054 Dr. William J. Boro Dr. Mary X. Psaromatis New Patient History Form Patient Name: Date: Please list
New Patient Pain Evaluation
New Patient Pain Evaluation Name: Date: Using the following symbols, mark the areas of the body diagrams which are affected by your pain: \\ = Stabbing * = Electrical X = Aching N = Numbness 0 = Dull S
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
PRACTICE EXAM QUESTIONS
PRACTICE EXAM QUESTIONS 1. A patient presents with muscle weakness. To assess his condition, you test his knee-jerk reflex by tapping his patella tendon with your hammer. Next you examine the jaw-jerk
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
Capital Health Medical Center - Hopewell NEUROSURGICAL-ONCOLOGY Patient History
Capital Health Medical Center - Hopewell NEUROSURGICAL-ONCOLOGY Patient History Please take a few minutes and complete the following questions before you see the doctors so that we may learn a bit more
WELCOME TO THE NORTHSHORE UNIVERSITY HEALTHSYSTEM SLEEP CENTERS
WELCOME TO THE NORTHSHORE UNIVERSITY HEALTHSYSTEM SLEEP CENTERS Prior to your office visit, we request that you complete this questionnaire. It asks questions not only about your sleeping habits and behavior
Neurosurgical Clinic of Cedar Rapids
Neurosurgical Clinic of Cedar Rapids Name: _ Today s Date: Birth date: Age: Sex: M F Height: Weight: Name of referring doctor: Name of family doctor: Why are you seeing the doctor today? How long have
Patient Adult Information History
Patient Adult Information History Patient name: Age: Date: What is the main reason for today s evaluation? Infant History Birth delivery: Normal C-section Delayed Epidural Premature: No Yes If yes, how
e) None of the above e) None of the above
Neurology 1) For the management of an acute delirium acquired in the hospital, which one of the following options would be least appropriate? a) Treating the underlying cause b) Promptly increasing antibiotic