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waxing and waning symptoms: |
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subacute onset of symptoms: |
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Guillaine Barre starts in __ and worsk way up, may have had URI or immunizations. |
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Levels of consciousness from least concscious to most conscious: |
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Definition
coma> stupor> delirium> lethargy> confusion> A&O x3 |
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Term
Hemiplagia is caused by damage to the __ __ __ the brainstem. It is __ brain damage with __ early on and then __. There is NO spontaneous movement. |
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- corticospinal tract above the brainstem - paralysis early on then spasticity - no spont mvment |
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Decorticate is damage to the __ tract. It is an abnormal __ response. Arms are tight to side, eblows, wrist and fingers flexed. Legs are __. |
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- corticospinal tract - flexor - legs are extended |
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Decerebrate occurs with damage to the __, it is an abnormal __ response of the arms and legs. The jaws are __ and the back may be __ __. |
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Definition
- brainstem - extensor - clenched - rigidly arched |
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Term
Sudden onset of acute confused state with disordered perceptions. sundowning occurs with this. |
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clinical syndrome of failing memory, decreased intelligence, and behavioral abnormalities. |
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- response to questions - calculation - writing ability - exectution of motor - memory- immediate, recent, remote - attention span - judgment |
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Emotional stability assessment: |
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- Mood and feelings - Thought process and content - Perceptual distortions and hallucinations - Suicidal/homicidal ideations |
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Speech and language skills: |
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Definition
- voice quality - articulation - comprehension - coherence |
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Pts with Broca's aphasia __ words, but cannot __ __. Reading is __, but writing is __. |
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Definition
- understand words - cannot express self - reading is intact - writing is impaired |
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Pts with Wernickes aphasia __ but can't __. They have __ ___ speech. Reading and writing are __. |
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Definition
- hear but can't understand - fluent non-sensical - reading and writing impaired |
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May understand only own name
Cannot speak to only a few words or sounds
Reading and writing ability severely impaired |
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Definition
- word comprehension - repitition - naming - reading comprehension - writing |
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Folstein's Mini Mental Status Exam: |
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Orientation (10 points) What is the; year, season, date, day, month? Where are we; state, county, town, clinic, floor? Registration (3 points) Name 3 objects Attention & Calculation (5 points) Serial 7’s or WORLD backwards Recall (3 points) Repeat 3 previously named objects after 10 minutes Language (9 points) Identify 2 objects Repeat “no ifs, ands or buts” Follow 3 stage command Read and obey written command Write a sentence Copy intersecting pentagons |
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If suspect higher order thinking deficit could do: |
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MMSE - max score of 30 - greater than or equal to 25 = normal - 24 or lower= impairment |
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The cognitive impairment test is a 6 item screening test that may detect __ __ earlier. The __ the score the better. |
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Definition
- mild demetia - lower the score the better |
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Definition
I: Olfactor II: Optic III: Oculomotor IV: Trochlear V: Trigeminal VI: Abducens VII: Facial VIII: Vestibulocochlear IX: Glossopharyngeal X: Vagus XI: Accessory XII: Hypoglossal |
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