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Level 19

Neurological


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APD (Afferent Pupillary Defect)
abnormal finding of dilation of the pupil instead of constriction in response to a shining light
Antalgic Gait
limping
Aphasic
Inability to generate (expressive aphasia) or understand (receptive aphasia) language due to damage to the brain
Ataxia
loss of coordination
Babinski Sign
Toes flex upward when sole of foot is stimulated, indicating motor nerve damage
Bell's Palsy
localized facial nerve dysfunction that causes facial droop and numbness
CVA (Cerebrovascular Accident)
Hemorrhagic or Ischemic Stroke
Clonus
involuntary muscle contractions and relaxations
Cranial Nerve I
Olfactory
Cranial Nerve II
Optic
Cranial Nerve III
Oculomotor. Pupil function and EOM
Cranial Nerve IV
Trochlear
Cranial Nerve V
Trigeminal. Sensation of forehead, cheek and chin
Cranial Nerve VI
Abducens. Controls movement of lateral rectus muscle of the eye
Cranial Nerve VII
Facial
Cranial Nerve VIII
Vestibulocochlear. Hearing
Cranial Nerve IX
Glossopharyngeal. Gag reflex
Cranial Nerve X
Vagus
Cranial Nerve XI
Accessory. Provides motor control of the sternocleidomastoid and trapezius muscles.
Cranial Nerve XII
Hypoglossal. Controls the extrinsic muscles of the tongue
Decreased Rectal Tone
diminished anal sphincter muscle contraction, indicative of neurological damage
Dysarthria
Poor mechanical articulation of speech due to abnormal lip, tongue, or cheek motor function
Dysphasia
Difficulty in neurologically generating or understanding language
EOM palsy
paralysis of the EOM
Facial Asymmetry
drooping of one side of the face indicating neurological damage
Facial Palsy
paralysis of the face
Finger-Nose-Finger
A test to evaluate cerebellar function
Grand Mal Seizure
epileptic attack characterized by convulsions, stupor, and temporary LOC
Hemiparesis
Weakness of one half of the body
Hemiplegia
Paralysis of one half of the body
MAEx4 (Moves All Extremities)
Patient moves their arms and legs normally, indicating normal motor function
Neuralgia
sharp pain along the course of a nerve or several nerves
Normal DTR's
Normal deep tendon reflexes, rated as 2/4
Oriented x 4
Oriented to person, place, time and situation
Paresthesia
Abnormal tactile sensation often described as tingling, numbness or pinpricking
Post-Ictal
State of somnolence and decreased responsiveness after a seizure
Pronator Drift
Involuntary turning or lowering of forearm when outstretched
Romberg's Sign
Falling to one side when standing with feet together and eyes closed, indicating abnormal cerebellar function or inner ear dysfunction
Saturday Night Palsy
Permanent localized numbness or weakness to a specific nerve's distal innervation
Status Epilepticus
Repetitive seizures without regaining consciousness between them
Strength 5/5
Normal strength of the extremities
Syncope
LOC; fainting, "passing out"
Tongue deviation
Tongue pointing to one side
Tonic Clonic
description of a Grand Mal or generalized seizure with stupor and transient LOC
TIA (Transient Ischemic Attack)
"Mini-stroke", neurological function is regained completely with time
Vasovagal
malaise mediated by the vagus nerve, which can lead to syncope
Vertigo
Condition of feeling the room spin