神经系统检查 .ppt

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视力检查视力表数指指动光感全盲无第61页,共63页,星期六,2024年,5月对比法检查视野第62页,共63页,星期六,2024年,5月感谢大家观看第63页,共63页,星期六,2024年,5月**Theneurologicexamispartofthegeneralphysicalexamination.Thus,theneurologicexamshouldalwaysbeprecededbyandinterpretedinthecontextofamoregeneralexaminationincludingvitalsigns,heart,lungs,abdomen,etc.**Theneurologicexaminationisalwaysperformedandrecordedinasequentialanduniformmannerinordertoavoidomissionsandtofacilitatethesubsequentanalysisofcaserecords.**Memory:Askthepatienttorecallthreeitemsafteradelayof3to5minutesRemotememory.Askthepatientabouthistoricalpersonalevents.Calculation:subtract7from100andthensubtract7fromtheproduct,andsoon.**Levelofconsciousnessisseverelyimpairedindamagetothebrainstemreticularformation,andinbilaterallesionsofthethalamiorcerebralhemispheres****Differentkindsoflanguageabnormalitiesarecausedbylesionsinthedominant(usuallyleft)frontallobe,includingBrocasarea;thelefttemporalandparietallobes,includingWernickesarea**Theneurologicexaminationisalwaysperformedandrecordedinasequentialanduniformmannerinordertoavoidomissionsandtofacilitatethesubsequentanalysisofcaserecords.****.**TestExtraocularMovementsStandorsit3to6feetinfrontofthepatient.Askthepatienttofollowyourfingerwiththeireyeswithoutmovingtheirhead.CheckgazeinthesixcardinaldirectionsusingacrossorHpattern.Pauseduringupwardandlateralgazetocheckfornystagmus.[6]Checkconvergencebymovingyourfingertowardthebridgeofthepatientsnose.TestPupillaryReactionstoLightDimtheroomlightsasnecessary.Askthepatienttolookintothedistance.Shineabrightlightobliquelyintoeachpupilinturn.Lookforboththedirect(sameeye)andconsensual(othereye)reactions.Recordpupilsizeinmmandanyas

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