NSG3 Lecture Notes - Lecture 15: Stereognosis, Hyperreflexia, Truck Acts
8 Feb 2018
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Week 3 neurological health assessment: cognition and perception. Preliminary examination: includes questions to determine pre-existing injury or existence of health/mental condition. Eye examination: using both horizontal and vertical nystagmus test, plus. Indicates that optic nerve is in tact checking to see if the eyes converge properly: no pupillary reaction in coma patients, possibility of no response in brain injuries. Divided attention tests: includes walk and turn, one-leg stand, finger to nose and the romberg balance test. Vital signs examination: checking pulse rate, bp, temp. Dark room examination: includes measurement of pupil size, and reaction of the eyes to light (perrla) Has two structural parts: central nervous system (cns, consists of the brain and spinal cord, brain cerebral cortex, cerebrum (2 hemispheres, 4 lobes), Dizziness vertigo (everything feels like its spinning; motion sickness) vs dizziness (lightheadedness); objective/subjective vertigo, syncope (faint, low bp), oldcarts (low glucose levels = low bp = check o2); could be ear/vestibular or brain problem.
