Neuro PT Assessment
Download as PPTX, PDF
9 likes3,965 views
Dr. Samir Jadav conducted a neuro assessment of an unnamed patient which included collecting demographic details, reviewing chief complaints, history, vital signs, pain assessment, physical examination of posture, palpation findings, cranial nerve assessment, sensory and motor function testing, gait assessment, and differential diagnosis formulation to evaluate the patient's neurological status.
Neuro PT Assessment
- 1. Neuro Assessment Dr. Samir Jadav
- 2. ASSESSMENT DEMOGRAPHIC DETAILS NAME AGE GENDER OCCUPATION ADDRESS HAND DOMINANCE DATE OF ASSESSMENT
- 3. CHIEF COMPLAINTS HISTORY H/O PRESENT ILLNESS PAST MEDICAL HISTORY FAMILY HISTORY PERSONAL HISTORY SOCIOECONOMIC HISTORY FUNCTIONAL HISTORY
- 4. VITALS TEMP. - 98.6F/37C RESPI.RATE- 16-20/min HEARTRATE- 60-80 bpm B.P. - 120-80 mmHg PAIN ASSESSMENT (FOR SHOULDER PAIN) SIDE SITE DURATION TYPE NATURE OF PAIN ONSET OF PAIN RADIATING PAIN A/F R/F INTENSITY OF PAIN: NPRS/VAS SCALE
- 5. ON OBSERVATION BODY BUILT POSTURE ATTITUDE OF LIMB ATTITUDE OF PATIENT EXTERNAL APPLIANCES DEFORMITIES WOUND/SCAR OEDEMA SKIN/TROPHIC CHANGES MUSCLE WASTING GAIT
- 6. ON PALPATION WARMTH TEXTURE OF SKIN TENDERNESS SPASM OEDEMA PULSE CREPITUS MUSCLE WASTING
- 7. ON EXAMINATION HIGHER FUNCTION TESTS CONCIOUSNESS ORIENTATION MEMORY BEHAVIOUR ATTENTION SPEECH HEARING
- 9. SENSORY EXAMINATION SUPERFICIAL- fine,crude touch, pinprick, temp., pressure DEEP - proprioception, kinesthetic, vibration CORTICAL - stereognosis, 2point discrimination, tactile localization, barognosis, graphesthesia
- 10. MOTOR EXAMINATION MUSCLE TONE ROM :- AROM PROM ENDFEEL JOINTPLAY MMT REFLEXES :- SUPERFICIAL- abdomen, plantar, Hoffman sign DTR - biceps,triceps, brachioradialis, knee, ankle jerk LIMB MEASUREMENT :- LENGTH, GIRTH
- 11. GAIT ASSESMENT RESPIRATORY ASSESSMENT FUNCTIONAL ASSESSMENT SPECIAL TEST INVESTIGATIONS DIFFERENTIAL DIAGNOSIS DIAGNOSIS