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Pile Management Card
Neuro

click card to see answer

Tongue deviation

tongue pointing to one side

Strength 5/5 x 4 extremities

there is full strength for both arms and both legs

Romberg's sign

falling to one side when standing with feet together and eyes closed (cerebellum exam)

Pronator Drift

involuntary turning of the forearm inward on exam

Papilledema

swelling of optic nerve noted in fundi exam

Oriented x 3

oriented to person, place, and time

Normal DTR's

deep tendon reflexes are normal (graded as 2 out of 4)

Hemiparesis

weakness on one half of the body

Fundoscopic exam

inside of the eyes as seen with ophthalmoscope

finger-nose-finger

specific neuro exam testing cerebellum function

Facial Palsy

paralysis of the face

EOMI

extraocular movements intact

EOM palsy

paralysis of the extra ocular movements

Dysphasis

speech impairment

Decreased rectal tone

diminished contraction of the anal sphincter muscle

cranial nerves

Clonus

involuntary muscle contractions and relaxations

Babinki's sign

important neuro exam; big toe dorsiflexes (flexes upward) when the sole of the foot is stimulated

Aphasic

without speech

APD

Afferent Pupillary Defect; an abnormal finding of dilation of the pupil instead of constriction in response to shining light

Antalgic gait

limping

Aniscoria

unequal diameter of pupils

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