PHA 3112 Lecture Notes - Lecture 9: Jaw Jerk Reflex, Tuning Fork, Fasciculation
12 Mar 2018
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Anatomic diagnosis: localize disease (what part of brain/ns is affected) Syndromic diagnosis: s&s based on symptoms diagnosis. Other data: mode of onset/speed of evolution, involvement of nonneurologic organ systems, relevant past and family medical histories, laboratory findings. Formulation: pathologic diagnosis: identifying the disease, etiologic diagnosis: mechanism & causation of the disease, functional diagnosis: degree of disability, temporary/permanent, potential for restoration of function. Cognitive: loc, attention, understanding, language & speech, memory, visuospatial (perception of environment) Small, visual fields, pupil size/ reactivity", eyelid pos. , range of ocular mov. , corneal refl. Inspect vocal cords if hoarseness, punctuation of words; reflexes (jaw jerk, snout, buccal, sucking reflexes) Speed + strength, muscle bulk (atrophy), tone, & coordination. Tremor or fasciculations (twitching), abnormalities of movement (finger-nose/toe-finger) Biceps, triceps, supinator-brachioradialis, patellar, achilles, cutaneous abdominal, plantar. Patient arises from chair, stands & walks, tandem walk, hopping/standing on one foot, Anatomy: corticospinal tract, motor unit, basal ganglia/cerebelar motor connections, etc.
