University:
Michigan State University
Course:
MED 492 | Basics and Methods in Biomedical Research
Academic year:

2021
Views:

139

Pages:

2
Author:

Trevon Bernard

NEUROLOGICAL ASSESSMENT APPEARANCE Relaxed, sitting upright BEHAVIOUR Patient is cooperative, pleasant, and uses regular speech (mood, affect, and speech) COGNITION (consciousness, orientation, memory, attention, concentration, comprehension, and abstract reasoning) THINKING (perception, content, process, insight, and judgement) Oriented to person, place and time What time is it? Where are we? Able to remember past and current events What did you eat for breakfast this morning? CRANIAL NERVE #1 OLFACTORY Instruct patient to occlude (close/block) one nostril, close eyes and snike *ﬁnding: patient is able to identify “coffee/peppermint” CRANIAL NERVE #2, 3, 4, 6 OPTIC, OCULOMOTOR, TROCHLEAR, ABDUCENS Snellen Eye Chart 20 ft. using a big chart, 14 in. using small chart Confrontation Test peripheral ﬁeld test *ﬁnding: “20/20” OR “14/14” vision “with/without glasses” in both eyes, peripheral ﬁelds intact by confrontation *ﬁnding: extra ocular eye movement intact, no ptosis or nystagmus, PERRLA P.E.R.R.L.A pen light (pupils, equal, round, reactive, light, accommodation) CRANIAL NERVE #5 TRIGEMINAL (CHEWING & PAIN) 1. Palpate the temporal and masseter muscles as the person clenches their teeth 2. Try to separate the jaws by pushing down on the chin (normally cannot be done) *ﬁnding: jaw strength is equal in strength bilaterally CRANIAL NERVE #7 FACIAL Instruct patient to close their eyes and tell you if they feel a cotton ball in 3 areas of the face (Y/N) You will place the cotton ball on the forehead, cheeks and chin *ﬁnding: sensation equal and intact bilaterally (if the patient is able to tell you when they feel the cotton ball on their face everytime you touch them) Ask patient to smile, frown, close eyes tightly, lift eyebrows, show teeth, pull cheeks (then press down on pulled cheeks to see if any air escapes) Test muscle weakness Test ability to taste sugar, salt, sour Give patient something to put in their mouth *ﬁnding: patient is able to differentiate between sugar, salt and sour foods CRANIAL NERVE #8 ACOUSTIC (VESTIBULOCOCHLEAR) Whisper 2 syllable words such as; Monday, Tuesday, Baseball, Strawberry, etc. *ﬁnding: patient is able to distinguish the word CRANIAL NERVE #9, 10, 12 GLOSSOPHARYNGEAL, VAGUS, HYPOGLOSSAL Using a tongue blade, instruct the patient to say “AHH” Verbalize: At this point I would test for gag reﬂex Instruct patient to say the words “Light” “Tight” and “Dynamite” *ﬁnding: uvula and soft palate rise in the midline, and the tonsillar pillars move medially *ﬁnding: lingual speech of the letters L, T, D and N is clear and distinct CRANIAL NERVE #11 SPINAL ACCESSORY Examine the sternocleidomastoid and trapezius muscle for equal size 1. Check equal strength by asking patient to rotate the head forcibly against resistance applied to the chin 2. Ask patient to shrug shoulders against resistance *ﬁnding: equal and strong bilaterally

Neurological Assessment

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