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ASSESSMENT OF THE NEUROLOGICAL SYSTEM

ASSESSMENT OF THE NEUROLOGICAL SYSTEM. Dr. Juan Ramón Meriño Smith. MSc Consultant Neurologist. The Gambia 2009. A complete Neurological assessment include: Assessment of mental status and level of consciousness Sensation Cranial nerves Motor and cerebellar function Reflex.

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ASSESSMENT OF THE NEUROLOGICAL SYSTEM

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  1. ASSESSMENT OF THE NEUROLOGICAL SYSTEM Dr. Juan Ramón Meriño Smith. MSc Consultant Neurologist The Gambia 2009

  2. A complete Neurological assessment include: Assessment of mental status and level of consciousness Sensation Cranial nerves Motor and cerebellar function Reflex

  3. GLASGOW COMA SCALE (GCS) An international method for grading neurological response of the injured or severely ill patients. It is used for patients who have the potential for rapid deterioration. The GCS assess three parameters of consciousness: eye opening, verbal response and motor response. Verbal response Eyes open Motor response Oriented ---------------- 5 Confused -------------- 4 Inappropriate --------- 3 Incomprehensible --- 2 None --------------------- 1 Obey commands --------- 6 Localize pain -------------- 5 Withdrawal ---------------- 4 Flexion abnormal--------- 3 Extension abnormal ---- 2 None -------------------------- 1 Spontaneously ------ 4 To speech ------------- 3 To pain ----------------- 2 None -------------------- 1

  4. LEVEL OF CONSCIOUSNESS (LOC)

  5. LEVEL OF CONSCIOUSNESS (LOC)

  6. LEVEL OF CONSCIOUSNESS (LOC)

  7. Olfatory • Optic • Oculomotor • Trochlear • Trigeminal • Abducens • VII. Facial • Acoustic • IX. Glossopharyngeal • X. Vagus • XI. Spinal accessory • XII. Hypoglossal Cranial Nerves

  8. REFLEXES Deep tendon reflexes Biceps Triceps Brachioradialis Patellar Achilles Superficial or cutaneous reflexes Abdominal Cremasteric Plantar Bulbocavernosus

  9. C. Triceps D. Patellar

  10. CEREBELLAR FUNCTION • Coordination: • Fingertip-to- Nose Touch • Rapid Alternating Hand Movement • Heel Slide • Figure eight Gait • Station: • Rhomberg’s Test

  11. THANK YOU

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