PEMERIKSAAN

NEUROLOGI
L. ARIES FAHROZI
PRODI ILMU KEPERAWATAN
SEKOLAH TINGGI ILMU KESEHATAN HAMZAR
LOMBOK TIMUR

PEMERIKSAAN NEUROLOGI
Anamnesa
Px Fisik
Px Penunjang

Anamnesa
Headache

Onset (sudden, gradual)

Timing
Frequency
Duration
Character, Severity, Site
Associated (vomiting, visual disturbance)
Precipating Factors
Relieving Factors

Anamnesa
Visual Disorder

Onset (sudden, gradual)

Timing
Frequency
Duration
Impairment
one/both eyes, total/partial visual loss/visual field

Diplopia
Hallucination
Precipating Factors
Relieving Factors

Anamnesa
Loss of Consciousness

Onset (sudden, gradual)

Timing
Frequency
Duration
Tongue bite, incontinence, limb twitching
Cardiovascular / Respiratory symptoms
Head injury
Drug/alkoholic abuse
Precipating Factors

Anamnesa
Speech Disorder

Onset (sudden, gradual)

Timing
Frequency
Duration
Difficulty in
Forming word
Expression
Understanding

Anamnesa
Motor Disorder

Onset (sudden, gradual)

Timing
Frequency
Duration
Inco ordination balance
Weakness progression
Involuntary movement
Precipating Factors walking
Relieving Factors -- Rest

Anamnesa
Sensory Disorder

Onset (sudden, gradual)

Timing
Frequency
Duration
Pain
Numbness / tingling
Site
Precipating Factors
walking, neck movement

Relieving Factors -- Rest

Anamnesa
Sphincter Disorder

Onset (sudden, gradual)

Timing
Frequency
Duration
Anal
Bladder
Difficulty in control
Incontinence
retention

Anamnesa
Lower Cranial nerve Disorder

Onset (sudden, gradual)

Timing
Frequency
Duration
Deafness / tinnitus
Vertigo
Balance
Swallowing difficulty
Precipating Factors
Neck movement
Head position

Anamnesa
Mental Disorder

Onset (sudden, gradual)

Timing
Frequency
Duration
Memory & Intelligence deterioration
Personality & Behaviour Change

Px Fisik
Penyakit saraf gx penykt sitemik
Penykt sitemik gx penykt saraf
Perlu px umum spt
Temp, Tek Drh, pulse, carotid bruit, cardia
mumurs, cyanosis
BB menurun
Tumor mammae, lymphadenopathy, prostat
Septic source
Skin marks caf-au-lait dll

Px Fisik
neurologi
Conscious level & higher cerebral
Functions
Cranial nerves I s/d XII
Upper limbs
Trunk
Lower limbs
sphinters

Px Fisik
neurologi
Conscious level & higher cerebral
Functions
GCS
Cognitive skills
Reasoning
Emotional states

Px Fisik
neurologi GCS
Conscious level Glasgow Coma Scale
Eye opening
Verbal response
Motor response

Px Higher Cerebral Functions

REASONING & PROBLEM SOLVING
Test pt with 2 step calculation
I wish to buy 12 articles at Rp 7000,- each.
How much change will I receive from Rp
100.000,-

Ask the pt to reverse 3 or 4 random

numbers
Ask the pt to explain provebs

Px Higher Cerebral Functions

EMOTIONAL STATE

Anxiety or excitement
Depression or apathy
Emotional behaviour
Unhibited behaviour
Slowness of movement or responses

Px Neuro
Cranial nerves I s/d XII

N I = saraf olfaktorius
N II = saraf optikus
N III= saraf okulomotorius
N IV
= saraf troklearis
N V = saraf trigeminus
N VI
= saraf abducens
N VII
= saraf fasialis
N VIII
= saraf auditorius
N IX
= saraf glosoparingeus
N X = saraf vagus
N XI
= saraf asesorius
N XII
= saraf hipoglosus

Px N I

Px N II

Px N II
Funduskopi

Px N II

visual field test konfrontasi

Px N III

Px N III, IV, VI

Px N V

Px N VII

Parese N VII kiri

Px N VIII

Px N VIII

Px N IX

Px N XI

Px N XII