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Neurological Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Review of Anatomy & Physiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
The Central  Nervous System
CNS:The Brain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
Head Injuries
Head  Injury ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clear discharge  from ear Periorbital bruising/swelling Scalp hematoma Physical
TBI: Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
TBI: Clinical Manifestations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Scalp Injury Very vascular Can distract from more serious injury What about brain and neck???? Bleeding usually NOT enough to cause hypovolemic shock. Exceptions: Children, arterial
Cerebral Concussion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cerebral Contusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intracranial Hemorrhage (ICH) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Epidural Hematoma (EDH) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Subdural Hematoma (SDH) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intracerebral Hematoma (ICH) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Interacerebral Bleeding
Closed Head Injuries
Coup Contra  Coup Brain  Injury
 
Depressed  Skull Fracture Open  Head  Injury Risks: swelling, bleeding,  neural damage, infection. rapid decompensation
Increased Intracranial Pressures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Manifestations: Stages of Increased ICP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Manifestations: Stages of Increased ICP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Manifestations: Stages of Increased ICP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Herniation & Brain Death ,[object Object],[object Object],[object Object],[object Object],[object Object]
Brain Tumors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Peripheral Nervous System
Peripheral Nervous System (PNS) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PNS: Cranial Nerves ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cranial Nerves ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cranial Nerves
PNS Injuries Spinal Injuries
PNS Spinal Map
Spinal  Cord  Injury Locations
Spinal Nerves
Quad Para
Always properly immobilize an actual  or suspected head or spinal injury!
Performing a Neurological Assessment
Neurological Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
General  Signs / Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Physical Examination Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Categories of  Consciousness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Categories of  Consciousness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Assessing LOC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Glasgow Coma Scale
Pupillary Examination ,[object Object]
Check pupil size in lighted room, and  reactivity to light in a darkened room.
Unequal  pupil size  can be a sign  of a serious  brain injury.
Brain  Injury with  bleeding or swelling Rapid interventions are needed to prevent death or permanent  brain damage – TBI’s can progress rapidly!
Assessing the Cranial Nerves ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CN VII paralysis
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Shoulder Shrug
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Motor Examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Drift Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Movement Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Decorticate   Decerebrate
Response to Painful Stimuli ,[object Object],[object Object],Trapezius Pinch
Abmornal Reflexes ,[object Object]
Speech Patterns ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hemispheres of the Brain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Left Right
Brain Teaser Brain Teaser
Neuro Aessessment Quiz ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Neuro assessment hdsp final 10.09