neurologic examination
DESCRIPTION
Dr kiking ritarwan nye note yee.. smua budak H6TRANSCRIPT
NEUROLOGICAL NEUROLOGICAL EXAMINATIONEXAMINATION
A FEW STEPS TO DIAGNOSEA FEW STEPS TO DIAGNOSE
HISTORY TAKINGHISTORY TAKING
NEUROLOGICAL EXAMINATIONNEUROLOGICAL EXAMINATION
DIAGNOSIS DIAGNOSIS FURTHER EXAMINATION : LAB, LP, FURTHER EXAMINATION : LAB, LP,
EEG, EMG, RADIOLOGIC, BIOPSYEEG, EMG, RADIOLOGIC, BIOPSY
DIAGNOSISDIAGNOSIS
HISTORY TAKINGHISTORY TAKING
HELPING TO MAKE DIAGNOSISHELPING TO MAKE DIAGNOSIS EXP : EPILEPTIC, EEG AS A TOOLEXP : EPILEPTIC, EEG AS A TOOL HISTORY TAKING SHOULD BE :HISTORY TAKING SHOULD BE :
CLEAR / CORRECTCLEAR / CORRECT AIMEDAIMED DETAILDETAIL
CONCLUDECONCLUDE
SENSORIUMSENSORIUM CRANIUMCRANIUM MENINGEAL IRRITATIONMENINGEAL IRRITATION ARISING OF INTRACRANIAL PRESSUREARISING OF INTRACRANIAL PRESSURE CRANIAL NERVECRANIAL NERVE MOTOR SYSTEMMOTOR SYSTEM ABNORMAL REFLEXABNORMAL REFLEX SENSORY SYSTEMSENSORY SYSTEM
REFLEXREFLEX CO-ORDINATIONCO-ORDINATION VEGETATIVEVEGETATIVE VERTEBRAEVERTEBRAE RADICULAR SIGNRADICULAR SIGN CEREBELLAR SIGNCEREBELLAR SIGN EXTRAPYRAMIDAL SIGNEXTRAPYRAMIDAL SIGN CORTICAL FUNCTIONCORTICAL FUNCTION
SENSORIUMSENSORIUM
COMPOS MENTISCOMPOS MENTIS APATHYAPATHY SOMNOLENCESOMNOLENCE SOPORSOPOR COMACOMA
CRANIUMCRANIUM
HEAD SHAPEHEAD SHAPE FONTANELLAFONTANELLA PALPATIONPALPATION PERCUSSIONPERCUSSION AUSCULTATORYAUSCULTATORY
MENINGEAL IRRITATIONMENINGEAL IRRITATION
NUCHAL RIGIDITYNUCHAL RIGIDITY KERNIG SIGNKERNIG SIGN LASEQUE SIGNLASEQUE SIGN BRUDZINSKI IBRUDZINSKI I BRUDZINSKI IIBRUDZINSKI II
ARISING OF INTRACRANIAL ARISING OF INTRACRANIAL PRESSUREPRESSURE
VOMITING VOMITING HEADACHEHEADACHE SEIZURESEIZURE
CRANIAL NERVESCRANIAL NERVES
N I (OLFACTORY)N I (OLFACTORY)
NORMOSMIANORMOSMIA ANOSMIAANOSMIA PAROSMIAPAROSMIA HYPOSMIAHYPOSMIA
N II (OPTIC)N II (OPTIC)
VISUAL ACUITYVISUAL ACUITYVISUAL FIELD : NORMAL / NARROWVISUAL FIELD : NORMAL / NARROWHEMYANOPSIA HEMYANOPSIA SCOTOMASCOTOMAFUNDUSCOPY : FUNDUSCOPY : - COLOR - COLOR
- BORDER - BORDER - ARTERY - ARTERY
- VEIN - VEIN - EXCAVATIO- EXCAVATIO
VISUAL FIELDVISUAL FIELD
FUNDOSCOPYFUNDOSCOPY
N III, IV, VI (OCULOMOTOR, N III, IV, VI (OCULOMOTOR, TROCHLEAR, ABDUCENS)TROCHLEAR, ABDUCENS)
EYE MOVEMENTEYE MOVEMENTNYSTAGMUSNYSTAGMUSPUPIL : WIDE, SHAPE, DIRECT/INDIRECTPUPIL : WIDE, SHAPE, DIRECT/INDIRECT LIGHT REFLEX LIGHT REFLEX RIMA PALPEBRA : RIMA PALPEBRA : PTOSIS, LAGOPTHALMOSPTOSIS, LAGOPTHALMOSCONJUGATE DEVIATIONCONJUGATE DEVIATIONDOLL’S EYE PHENOMENONDOLL’S EYE PHENOMENONSTRABISMUSSTRABISMUS
EYE MOVEMENTEYE MOVEMENT
N V (TRIGEMINAL)N V (TRIGEMINAL)
MOTORICMOTORIC OPEN AND CLOSE MOUTHOPEN AND CLOSE MOUTHPALPATE MASSETER AND TEMPORAL PALPATE MASSETER AND TEMPORAL
MUSCLEMUSCLECLENCH TEETHCLENCH TEETH
SENSORICSENSORIC SKINSKIN, , MUCOSA, CORNEAL REFLEX DIRECT / MUCOSA, CORNEAL REFLEX DIRECT /
INDIRECT, MASSETER REFLEX, SNEEZE INDIRECT, MASSETER REFLEX, SNEEZE REFLEXREFLEX
N. TRIGEMINALN. TRIGEMINAL
PALPATE MASSETER AND PALPATE MASSETER AND TEMPORAL MUSCLETEMPORAL MUSCLE
N VII (FACIAL)N VII (FACIAL)
MOTORIC MOTORIC : : FACE EXPRESSION, FACE EXPRESSION, FURROW OF FOREHEAD, FURROW OF FOREHEAD,
CLOSE EYE, BLOWINGCLOSE EYE, BLOWING FORCE, SHOWING TEETH,FORCE, SHOWING TEETH, LAUGHLAUGH
SENSORYSENSORY : : TASTE OF ANTERIOR 2/3rd OF TASTE OF ANTERIOR 2/3rd OF
TONGUE, SALIVARY GLAND, TONGUE, SALIVARY GLAND,
LACRIMAL GLAND,HYPERACUSISLACRIMAL GLAND,HYPERACUSIS
N VIII (ACOUSTIC)N VIII (ACOUSTIC)
AUDITORIUSAUDITORIUS : : HEARING, RINNE TEST,HEARING, RINNE TEST,
WEBER TEST,WEBER TEST,
SCHWABACH TEST.SCHWABACH TEST.
VESTIBULARISVESTIBULARIS : : NYSTAGMUS, NYSTAGMUS, CALORICCALORIC
REACTION, VERTIGO, REACTION, VERTIGO,
TINNITUS.TINNITUS.
RINNE TESTRINNE TEST
SCHWABACH TEST.SCHWABACH TEST.
N IX, XN IX, X
SOFT PALATESOFT PALATEUVULAUVULADYSPHAGIADYSPHAGIADYSARTRIADYSARTRIADYSPHONIADYSPHONIAGAG REFLEXGAG REFLEXTASTE 1/3 rd BACK OF TONGUETASTE 1/3 rd BACK OF TONGUE
N XIN XI
LIFT SHOULDERLIFT SHOULDERFUNCTION OF FUNCTION OF
STRENOCLEIDOMASTOIDEUS MUSCLESTRENOCLEIDOMASTOIDEUS MUSCLE
N XIIN XII
TONGUE : TONGUE : TREMOR, FASCICULATION, TREMOR, FASCICULATION,
ATROPHYATROPHYTIP OF TONGUE WHILE RESTTIP OF TONGUE WHILE RESTTIP OF TONGUE WHILE STICK OUTWARDTIP OF TONGUE WHILE STICK OUTWARD
SYSTEM MOTORIC SYSTEM MOTORIC TROPYTROPY: EUTROPHY, DISTROPHY, ATROPHY, : EUTROPHY, DISTROPHY, ATROPHY, HYPERTROPHYHYPERTROPHY
TONUSTONUS : NORMOTONUS, HYPOTONUS, : NORMOTONUS, HYPOTONUS, HYPERTONUSHYPERTONUS
MUSCLE STRENGHTMUSCLE STRENGHT : 5-0 ( 5= NORMAL) : 5-0 ( 5= NORMAL)
ATTITUDEATTITUDE
GAITGAIT: WEDDLING GAIT, SCISSORS GAIT,: WEDDLING GAIT, SCISSORS GAIT, MARCE A PETIT PAS, HEMIPLEGIC MARCE A PETIT PAS, HEMIPLEGIC GAIT, STEPPAGE GAITGAIT, STEPPAGE GAIT
ABNORMAL SPONTANEOUS ABNORMAL SPONTANEOUS MOVEMENTSMOVEMENTS
TREMORTREMOR CHOREACHOREA BALLISMUSBALLISMUS MIOCLONUSMIOCLONUS ATHETOSISATHETOSIS DYSTONIADYSTONIA SPASMUSSPASMUS TICTIC
SENSIBILITY SYSTEM SENSIBILITY SYSTEM EXTEROCEPTIVEEXTEROCEPTIVE PROPRIOCEPTIVEPROPRIOCEPTIVE CORTICAL FUNCTION FOR SENSIBILITY:CORTICAL FUNCTION FOR SENSIBILITY:
STEREOGNOSIS, TWO POINT STEREOGNOSIS, TWO POINT
DISCRIMINATION, DISCRIMINATION, GRAPHESTESIAGRAPHESTESIA
REFLEXESREFLEXES
PHYSIOLOGICAL REFLEXESPHYSIOLOGICAL REFLEXES : :
- BICEPS/ TRICEPS- BICEPS/ TRICEPS - RADIOPERIOST - RADIOPERIOST
- APR/ KPR- APR/ KPR - STRUMPLE- STRUMPLE
PATOLOGICAL REFLEXESPATOLOGICAL REFLEXES::
- BABINSKI- BABINSKI - HOFFMAN TROMNER- HOFFMAN TROMNER
- CHADDOCK- CHADDOCK - KNEE CLONUS - KNEE CLONUS
- SCHAEFER- SCHAEFER - FOOT CLONUS- FOOT CLONUS
- OPPENHEIM- OPPENHEIM - PRIMITIVE REFLEXES- PRIMITIVE REFLEXES
- GORDON- GORDON - GONDA- GONDA
BICEPSBICEPS
TRICEPSTRICEPS
KPRKPR
KPRKPR
KPRKPR
APRAPR
BABINSKIBABINSKI
COORDINATIONCOORDINATION
COORDINATION (-)COORDINATION (-) : ATAXIA : ATAXIA
A MOVEMENT SHOULD HAVE A MOVEMENT SHOULD HAVE ::
- MOVEMENT PLANNING- MOVEMENT PLANNING
- FEEDBACK INFORMATION- FEEDBACK INFORMATION
TESTTEST: GAIT, WRITING, INDEX FINGER TEST, : GAIT, WRITING, INDEX FINGER TEST,
DIADOCHOKINESIA, SPEECH, FACIAL DIADOCHOKINESIA, SPEECH, FACIAL EXPRESSION,EXPRESSION,
SROMBERG TESTSROMBERG TEST
VEGETATIFVEGETATIF
VASOMOTORICVASOMOTORIC SUDOMOTORICSUDOMOTORIC PILO ERECTORPILO ERECTOR MICTURATIONMICTURATION DEFECATIONDEFECATION POTENSI AND LIBIDOPOTENSI AND LIBIDO
VERTEBRAVERTEBRA
FORMFORM: : - NORMAL- NORMAL
- SCOLIOSIS- SCOLIOSIS
- HYPERLORDOSIS - HYPERLORDOSIS
MOVEMENTMOVEMENT: - NECK: - NECK
- WAIST- WAIST
RADICULAR SIGNSRADICULAR SIGNS
LASEQUELASEQUE CROSS LASEQUECROSS LASEQUE LHERMITTE TESTLHERMITTE TEST NAFZIGER TESTNAFZIGER TEST
CEREBELLAR SIGNSCEREBELLAR SIGNS
ATAXIAATAXIA DISARTRIADISARTRIA TREMORTREMOR NYSTAGMUSNYSTAGMUS REBOUND PHENOMENONREBOUND PHENOMENON VERTIGOVERTIGO
EKSTRA PYRAMIDAL SIGNSEKSTRA PYRAMIDAL SIGNS
TREMORTREMOR RIGIDITYRIGIDITY BRADYKINESIABRADYKINESIA
CORTICAL FUNCTIONCORTICAL FUNCTION QUALITY OF CONSCIOUSNESSQUALITY OF CONSCIOUSNESS
MEMORYMEMORY : RECENT, SHORT TERM, LONG TERM : RECENT, SHORT TERM, LONG TERM
ORIENTATIONORIENTATION: SELF, SITUATION, PLACE, TIME: SELF, SITUATION, PLACE, TIME
INTELEGENSIAINTELEGENSIA
JUDGEMENTJUDGEMENT
EMOTIONAL REACTIONEMOTIONAL REACTION
APHASIAAPHASIA: EXPRESIVE, RECEPTIVE: EXPRESIVE, RECEPTIVE