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7/26/2019 Neurology Examination 2 1
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Neurologic examination
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Saraf Kranial
Saraf perifer
12 macam
Bisa menunjukkan letak lesi
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Midbrain & cranial nerves
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N. lfactorius !"#
Sensation of smell $ara%
Kooperatif Mata terpejam idung bebas
'ambatan
(g kopi) tembakau)te'
*ubang dites satupersatu
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N. pticus !""#
+isus% Snellen c'art !,-,# ari !1-,/#
*ambaian tangan!1-0//#
$a'aa !1-#
3arna !"s'i'ara#
+isual fields 4es konfrontasi 4es perimetri
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4es konfrontasi
perimetri
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5em fundus% (iscus !papil edema)
atrofi#
6rteri & vena 7etina !perdr'an)
eksudat) tuberkel)p'akomata#
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N. culomotorius !"""#
5tosis !klp mata jatu'# 8erakan bola mata
Ke medial) atas) ba9a' 7efleks ca'aa !:-;#
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N. 4roc'learis !"+#
8erak bola matake medial ba9a'
(iplopia !pandangandobel#
Nistagmus !ganggbalans tonus otot bolamata#
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N. 6bducens !+"#
8erak bola matake lateral
(iplopia !pandangandobel#
Nistagmus !ganggbalans tonus otot bolamata#
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N. 4rigeminus !+#
=ungsi% Sensasi 9aja'
8erakanmenguna'
7efleks cornea Sentu'an kapas
basa' pd limbuscornea Bilateral blink !:#
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8erakan
menguna'% 5alpasi otot
masseter Buka mulut a9 jerk !sulit#
Saraf peka nyeri
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N. =acialis !+""#
=ungsi% 8erakan 9aja' 5engecap 2-0 lida'
depan Sekresi gld
lacrimalis & gldsalivarius
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8erakan 9aja'% Meringis 4utup mata Kerutkan da'i
5engecap% 8ula) garam) cuka)
kinina (isentu' dg cottonbuds
Sekresi% "n'alasi amonia!lakrimal#
Bumbu g keras!saliva#
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N. +estibulococ'learis !+"""#
=ungsi% 5endengaran !coc'lear
nerve#
Keseimbangan!vestibular nerve#
5endengaran% Masking noise 8arputala
7inne>s test%udara-tulang 3eber>s test% tulang Sc'9abac'>s test%
pt-examiner
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Keseimbangan% 7otational test%
(iputar di kursi 1/x
selama 2/ detik
$aloric test% "rigasi dg air 2?/ ml
selama @/ dtk) su'u
0/A$ & @@A$ 7omberg test%
Berdiri kaki rapat)buka & tutup mata
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N. 8lossop'arngeus !"#
=ungsi% Mengatur otot
palatum & p'arnx Sensasi di p'arnx)
tonsil) palatum)lida' blkg 7efleks munta'
5engecap 1-0 blkglida'
Saraf peka nyeri
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N. +agus !#
=ungsi% Mengatur otot palatum
& p'arnx
7efleks menelan (isfagia
Sensasi di p'arnx)tonsil) palatum) lida'blkg
Mengatur otot pitasuara
Saraf peka nyeri
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N. 6ccessorius !"#
tot;otot le'er
tot;otot ba'u
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N. poglossus !""#
tot lida'
(isartria !ganggartikulasi#
Menjulurkan lida'%mencong
=asikulasi) tremor)atrofi !tandaperifer#
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Ckstremitas
8erakan
Kekuatan
4onus 4rofi
7. fisiologis
7. patologis
$lonus
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Kekuatan otot
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4onus otot
$ara pemeriksaan% 8erakkan otot ps
secara pasif) raba
ta'anan otot angdiperiksa
4rofi otot $ara pemeriksaan% palpasi masa otot g diperiksa
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7efleks fisiologis
Refleks patella Refleks achilles
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7efleks patologis
Babinski
offmann
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$lonus
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Meningeal sign
Kernigs sign Neck rigidity/Brudzinski 1
Brudzinski 2
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Meningeal sign
BrudDinski 0 5enekanan pd os
Dgomaticus % fleksi pd
sendi siku BrudDinski @
5enekanan pd simfisispubis % fleksi genu :coxae
8uillain 5emijatan pd pa'a %
fleksi genu
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"ritasi n. isc'iadicus
*asegue >$onnell 8aenslen
5atrick $ontra 5atrick
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Koordinasi)keseimbangan
7omberg
(isdiadok'okinesis
(ismetri
disdiadok'okinesis
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Sensibilit
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(ermatome