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neuro test 2

Terms

undefined, object
copy deck
tests indicating central lesion
*smooth pursuit *vergence *saccades *cross cover cross
anomic aphasia
*persistent inability to supply words for the things they want to talk about *understand speech *poor writing ability *have grammar and syntax
broca's aphasia
*speech output severely reduced to short utterances *vocab limited to key words *understands speech *limited reading adn writing *nonfluent
wernicke's aphasia
*serious comprehension difficulties *fail to realize they're saying the wrong word (gleeble) *meaningless words sound like a sentence but dont make sense *reading and writing deficits *fluent
global aphasia
*prevents effective communication *produce few recognizable words *unable to read or write
dysarthria
*speech production disorder *mm weakness
apraxia
*speech production disorder *disrupted motor planning *mm usually work
frontal lesion
*primary motor/premotor cortex *executive functions impaired
parietal lesion
*sensory *body in space *depth perception *damage here = neglect
temporal lesion
*primary auditory and taste cortex *associated areas *interpretation of auditory input
occipital lesion
*primary vestibular cortex *association area *pupillary/ocular reflexes
braintstem lesion
*BP *HR *RR *LOC *tonic reflexes *righting reflexes
cerebellar lesion
*balance and coordination
agitation: disinhibition
*undirected, self-stimulatory behaviors *impulsive *demanding *distractive *inappropriate language
agitation: aggression
*directed at external stimulus *constant *severe *physical *prevents care
agitation: lability
*directed at internal stimulus *rapid, loud talking *sudden mood changes *restlessness *interferes with care
peripheral vestibular deficits
*unilateral *bilateral *fluctuating *BPPV
central deficits
*vascular ischemia *diffuse damage with shearing effect *demyelinating disease *tumors (acoustic neruoma)
balance lines of defense
*ankle *hip *step *suspensatory *reaching
nystagmus diagnosis
*>60 s = cupulolythiasis *<60 s = canal lythiasis *nonstop = central problem
unilateral vestibular deficit treatment
*habituation *adaptation/gaze stability *balance *conditioning
bilateral vestibular deficit treatment
*adaptation/gaze stability *balance *sensory reorganization *conditioning *patient education *compensatory needs
fluctuating vestibular deficit treatment
*medical management *balance exercises *pt education
BPPV treatment
*canalith repositioning exercises *libertory/semont procedure *roll maneuver *brandt-daroff exercises
why use airsplint
*stabilize jt *allow WB before control returns *control unwanted movements in a limb *add consistent sensory input to limb while working *ease of positioning *dec tone temporarily
what to use airsplint for
*sensory loss *hypotonicity *hypertonicity
medications that inc fall risk
*anxiolytics/hypnotics *anti-depressants *neuroleptics *opioid analgesics *insulin/oral hypoglycemics

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