MS. BOWMAN EVALUATION OF THE HEAD AND NECK. ANATOMY REVIEW Skull.

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Presentation transcript:

MS. BOWMAN EVALUATION OF THE HEAD AND NECK

ANATOMY REVIEW Skull

ANATOMY REVIEW Brain

ANATOMY REVIEW

Meninges Cerebrospinal fluid

HISTORY Primary survey-ABCs, LOC Location of symptoms Mechanism of head injury Loss of consciousness Previous history of head/neck injury Complaints of weakness, numbness, tingling

INSPECTION Positioning of head/neck Bony structures and scalp Eyes General Nystagmus Pupil size Reaction to light Nose and ears Bleeding/CSF

PALPATION Skull/face Spinous and transverse processes Musculature Throat

SPECIAL TESTS-FUNCTIONAL Memory Retrograde amnesia Anterograde amnesia Cognitive function Behavior Analytical skills Information processing Neuropsychological Testing word recall, number ordering Balance and Coordination Rhomberg/BESS Vital Signs

SPECIAL TESTS-NEUROLOGICAL TESTING Cranial Nerve Function

SPECIAL TESTS-NEUROLOGICAL

Upper Quarter Screen- instruction to be provided when we study the arm

SPECIAL TESTS-SPECIFIC INJURIES Head Trauma Concussion Postconcussion syndrome Second impact syndrome Intracranial hematoma Skull fractures Cervical Spinal Cord Trauma Cervical fracture or dislocation Transient quadriplegia