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Rubzzzz's Nervous system on Hx taking

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Rubzzzz's Nervous system on Hx taking

  1. 1. NERVOUS SYSYTEMHISTORY • HEADACHE - frequency - duration - severity - character(aching, throbbing) - associated features(vomiting, visual disturbance) - site - relieving factor(analgesic) - precipiting factors(stopping,coughing) - timing(ex: morning) - onset(sudden, gradual) • VISUAL DISORDER - frequency - duration - impairment a) one/both eyes b) total/partial visual loss c) whole/partial field loss - diplopia (gaze direction where maximal) - hallucination a) false sensations without stimulus b) formed-real images c) unformed-shapes and colours - illusions-stimulus that is misperceived - precipitating factor - onset • LOSS OF CONCIOUSNESS - frequency - onset - duration - tongue biting, incontinence limb twitching - alcohol /drug abuse - head injury - c/v or respiratory symptoms - precipitating factors • SPEECH DISORDER - frequency - onset - duration - difficulty in articulation - difficulty in expression - difficulty in understanding
  2. 2. • MOTOR DISORDER - frequency - onset - duration - lack of coordination(balance) - weakness/fatigue a) progressive/static b) distal/proximal c) painful/painless - involuntary movement - relieving factor(ex: rest) - precipitating factor(ex: walking)• SENSORY DISORDER - Frequency - Onset - Duration - Pain - Numbness/tingling - Site - Relieving factor ( ex: rest) - Precipitating factors (ex: walking, neck movement)• SPHINTER DISORDER - frequency - onset - duration - anal - bladder - difficulty in control a) incontinence b) retention• LOWER CRANIAL DISORDER - frequency - onset - duration - deafness/tinnitus – uni/bilateral - vertigo – rotation of surroundings - balance/staggering – direction - swallowing difficulty - voice change - precipitating factors (ex: neck movement, head position)frequency• MENTAL DISORDER - duration - onset - memory - intelligence - personality - behavior
  3. 3. EXAMINATION• TEMPERATURE• BLOOD PRESSURE• NECK STIFFNESS• PULSE IRREGULARITY• CAROTID BRUIT• CARDIAC MURMUR• CYANOSIS/RESPIRATORY INSUFFICIENCY• EVIDENCE OF WEIGHT LOSS• BREAST LUMPS• LYMPHADENOPATHY• HEPATIC AND SPLENIC ENLARGEMENT• PROSTATIC IRREGULARITY• SEPTIC SOURCE• SKIN MARKS• ANTERIOR FONTANELLE• HEAD CIRCUMFERENCE

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