ECR Mental Status and Higher Cogntive Function 11.20.12 Flashcards Preview

ECR 2012 > ECR Mental Status and Higher Cogntive Function 11.20.12 > Flashcards

Flashcards in ECR Mental Status and Higher Cogntive Function 11.20.12 Deck (24):
1

What are neurologic symptoms to look for (6)

Weakness

Numbness or tingling

Headaches

Tremors

Imbalance

Seizures

2

Types of neurolgoical illnesses

Dementia (Alzheimer's) or stroke

Neurodegenerative disease (Huntington's)

Infections process (Encephalitites/meningities)

Brain tumor (Glioma, meningioma)

Seizure (flappign aorund; petite mal, (

3

What can be another cause of confusion

hyper/hypoglycemia

diabetes

4

waht can be antoehr cause of disorientation

medication side effect

5

waht can cause a change in memory

chronic alcohol abuse

6

what can cause a change in mood

depreession/ hypothyroidism

7

What can cause one to behave strangely-

lupud OCD/ Wilson's disease

8

What are the components of a neurological exam (5)

1. Appearance and behavior
2. Speech and language
3. Mood
4. Thoughts and perceptions
5. Cognitive Functions

9

What do you check for Appearance and Behavior

Level of consiousness

Posture and motor behavior

Dress, grooming and personal hygeine

Facial Expresson

Manner, affect

10

What do you check for in Appearance and Behavior?

level of consciousness
posture and motor behavior
dress, grooming/personal hygiene
Facial expression
manner,affect

11

What do you check for Speech and Language

Quantity
Rate
Loudness
Articulation
Fluency- Word compehension, repetition, naming, reading, comprehension, writing

12

What is Aphasia?

problems with fluency

13

Hallucination vs Illusion

Hallucination- thoughts in ABSENCE of stimulus "hearing voices"


Illusion- misinterpretation of stimulus; Paper on floor see as pond of water

14

What do you look for when testing cognitive function

orientation
attention
learning and memory
general info/fund of knowledge/vocab
calculations
abstract thinking
constructional abillity

15

Orientaiotn (cognitive)

Person Place Time

16

What does it mean to have Orienation x 3

awareneess of self, present realities and facts

Person,
Place
Time

17

How to test attention (cognitive)

1. Ability to focus and concentrate
2. Digit Span
3. Serial 7's
4. W-O-R-L-D

18

Remote vs recent (learnigna nd memory)

REMOTE- old response
-ask about birthdays, anniversaries, schools attended, or who was teh first president you voted for?

RECENT
-ask about events of the day, weather outside

Registration, immediate recall and short term memory

19

What are discriminative sensation

ability of sensory cortex to correlate, analyze, and interpret sensations

Stereognosis
Graphesthesia
2-pt discrimination
point localization
extinction

20

Stereognosis

Stereo=3D
stimulus in hand (batterny)
manipulate in hadn whiel eyes closed

21

Graphesthesia

close eye
Put # in hand and have him guess

22

2-pt discrimination

stimulate with paper clip0 one side or 2 sides

23

Point localization

where ?right arm? which left arm

24

Extinction

stimulus in one or two palces-

ask where if in 2 places