Term
Mini Mental Status Exam (MMSE) |
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Definition
orientation, registration, calculation, recall, language |
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13 mild injury, 12-9 moderate injury, less than 8 severe injury. Eye opening, verbal response, motor response |
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temperature, pain, light touch |
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Posterior (Dorsal) Columns |
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position, vibration, fine localized sensation |
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Corticospinal (pyramidal) Tracts |
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very skilled voluntary movement |
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equilibrium, coordinates movement |
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gait, tandem walk, deep knee bend, tomberg test, hop on one foot |
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Upper Extremities Fine Movement |
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RAM Increase speed, thumb to finger, pt finger to nose to my finger, finger to nose alternating |
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Lower Extremities Fine Movement |
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place object in hand, what is it? |
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Optic- snellen, visual fields |
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Oculomotor- EOMs (cover uncover, 6 gazes, corneal light relfex, pupil reaction), no ptosis, PERRLA |
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Trigeminal- clench teeth, forehead, cheek, chin light touch |
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Facial- smile, frown, raise eyelids, puff cheeks (taste so sensory too) |
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Acoustic- whisper, renee, weber, romberg |
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Glossopharyngeal-say ahh, uvula rises, gag reflex (taste too so sensory) |
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Vagus- sah ahh, gag (sensory too) |
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Spinal Accessory- shrug shoulders and move head against resistance |
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Hypoglossal- move tongue (midline), light, tight, dynamite |
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biceps (C5&6), triceps (C7&8), branchioradialsis (C5&6), patellar (L2&4), Achilles (L5&S2) |
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loss of ability to recognize importance of sensory impressions |
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loss of expression of speech, writing or signs, comprehension |
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loss of purposeful movements in absence of sensory or motor damage |
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loss of coordinated movements |
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slow, twisting writhing movement, snake or worm |
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sudden, rapid, jerky, purposeless movement involving limbs, trunk or face |
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arms stiffly extended, adducted, internally rotated, legs stiffly extended, plantar flexed |
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arms abbucted and flexed, wrists and fingers flexed, legs extended, internally rotated, plantar flexed |
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prolonged arching of back, with head and heels bent backward and meningeal irritation |
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rapid, sudden jerk of muscle |
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loss of motor power on one side of body |
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lack of speech coordination and inability to arrange words in proper order |
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imperfect articulation of speech due to problems of muscular control from central or peripheral nervous system damage |
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defect or sac formed by dilation in artery due to atherosclerosis, trauma or congenital effect |
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abnormal accumulation of serous fluid within the peritoneal cavity, associated with CHF, cirrhosis, cancer or portal HTN |
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loud gurgling bowel sounds signaling increased motility or hyperperistalsis, occur with early bowel obstruction, gastroenteritis, diarrhea |
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inflammation of gall bladder |
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Costovertbral angle (CVA) |
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Definition
angle formed by 12th rib and vertebral column on posterior thorax, overlies kidney |
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midline longitudinal ridge in abdomen, separation of ab rectus muscles |
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abnormal enlargement of liver |
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congenital narrowing of pyloric sphincter, forming outflow obstruction of stomach |
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heart burn, reflux of gastric acid |
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abnormally sunken ab wall with malnutrition or underweight |
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silvery white or pink scar tissue formed by stretching of ab skin with pregnancy or obesity |
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excess body fat that is placed predominantly within abdomen and upper body |
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weight in kilograms divided by height in meters2, 30 or more is obese, less than 18.5 is undernutrition |
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used to assess body protein status |
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fat mostly on hips and thighs |
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protein deficiency characterized by edema, growth failure, muscle wasting |
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combination of chronic energy deficit and chronic or acute protein deficiency |
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results from energy and protein deficiency, loss of body weight, skeletal muscle and adipose tissue mass, serum protein levels intact |
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immobility, consolidation, and fixation of a joint because of disease, injury, or surgery (most often rheumatoid arthritis) |
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dry crackling sound or sensation due to grating of the ends of damaged bone |
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flexion contractures of the fingers due to chronic hyperplasia of the palmar fascia |
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round, cystic, nontender nodule overlying a tendon sheath or join capsule, usually on dorsum of wrist |
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inward or concave curvature of the lumbar spine |
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turning the forearm so that the palm is down |
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moving a body part forward and parallel to ground |
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chronic systemic inflammatory disease of joints and surrounding connective tissue |
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turning forearm so that palm is up |
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contraction of cervical neck muscles, producing torsion of neck |
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