Pemeriksaan Fisik Neurologis | Tugas Ujian Online Stase Saraf

Summary

In this educational video, Muhammad Lado Pratama demonstrates a thorough neurological physical examination to assess a patient's sensory and motor functions. The process includes evaluating the patient's reflexes, facial symmetry, cognitive abilities, and sensory responses, such as visual and proprioceptive tests. The video walks through each step, ensuring no abnormalities are detected, with a clear explanation of the tests performed. Viewers are encouraged to like, comment, and subscribe for more insightful content on medical procedures.

Takeaways

• 😀 Hand washing is emphasized as an essential step before performing any physical examination on a patient.
• 😀 The doctor introduces himself to the patient and explains the purpose of the examination to assess neurological function.
• 😀 The Glasgow Coma Scale (GCS) is used to evaluate the patient's consciousness and responsiveness, with normal responses observed.
• 😀 A series of tests for meningitis signs, such as the Lasegue, Brudzinski, and Kernig tests, are performed, all returning negative results.
• 😀 The facial nerve (VII) is examined for symmetry and function by testing movements like raising eyebrows, closing eyes, and smiling.
• 😀 The optic nerve (II) is assessed by checking visual acuity, visual fields, and pupillary reflexes.
• 😀 Motor function is tested by having the patient move limbs, lifting hands and feet, and maintaining strength against resistance.
• 😀 Reflexes, including biceps, triceps, patella, and Achilles, are tested, all showing normal responses (grade 2).
• 😀 The sensory examination is performed using a sharp and dull stimulus to check for proper sensation in both hands and feet.
• 😀 The examination concludes with a final check of proprioception and sensory responses, which are normal, confirming healthy neurological function.
• 😀 The video ends with a polite request to viewers to like, comment, and subscribe to support future educational content.

Q & A

What is the main focus of the video presented by Muhammad Lado Pratama?

The main focus of the video is demonstrating physical examinations to assess nerve function.

What is the first step before beginning the physical examination on the patient?

The first step is to wash hands following the 6-step procedure to ensure cleanliness before touching the patient.

What are some of the basic physical tests performed to assess the patient's nervous system?

Some of the basic tests include assessing the Glasgow Coma Scale (GCS), performing meningeal irritation tests, and testing for facial nerve (VII) functionality.

How does the practitioner assess the Glasgow Coma Scale (GCS) of the patient?

The practitioner evaluates the patient's eye opening response (E), verbal response (V), and motor response (M), resulting in a score of 4 for eye opening, 5 for verbal, and 6 for motor responses.

What does the practitioner look for during the meningeal irritation tests?

The practitioner checks for signs such as neck stiffness (Kernig's sign), and performs other tests like Brudzinski's sign to assess for meningeal irritation.

What is assessed during the facial nerve (VII) examination?

During the facial nerve examination, the practitioner checks for facial symmetry, asks the patient to raise their eyebrows, close their eyes, smile, and whistle, observing for any asymmetry or abnormalities.

How does the practitioner check the patient's visual function?

The practitioner checks visual function by testing visual acuity, visual fields (by asking the patient to cover one eye and identify moving objects), and assessing the pupillary light reflex.

What is involved in the motor examination during the physical assessment?

The motor examination includes asking the patient to raise their arms and legs, perform resistance tests, and checking for strength and movement in both the upper and lower extremities.

How does the practitioner assess reflexes during the examination?

The practitioner checks physiological reflexes such as biceps, triceps, patellar, and Achilles reflexes to ensure they are normal and there is no abnormal reflex response.

What does the practitioner look for in the sensory examination?

During the sensory examination, the practitioner checks both proprioceptive (position sense) and protopathic (pain) sensation using a sharp object to differentiate between sharp and dull sensations on the patient's limbs.