Neurological Shadow Health Assessment Transcript

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Neurological Tina Shadow Health Assessment Transcript

Your avatarHello Tina. Welcome to our clinic. Am Joyce, I will be interviewing you today, and later do a physical examination on youGreet
03/18/20 10:56 AM PDT
Tina JonesHey. 
Your avatarWhat brings you to the clinic today?Question
03/18/20 10:57 AM PDT
Tina JonesWell, I got into a little fender bender a week ago and I’ve been getting these headaches ever since. And my neck is sore too. Neurological shadow health assessment Transcript 
Your avatarAm sorry to hear that you are having headachesEmpathize
03/18/20 10:59 AM PDT
Tina JonesThanks for saying that.Neurological Shadow Health Assessment Transcript 
Your avatarHave you had any neck stiffness?Question
03/18/20 11:00 AM PDT
Tina JonesYeah. 
Your avatarWhen did the neck stiffness begin?Question
03/18/20 11:01 AM PDT
Tina JonesMy neck started hurting about two days after the accident. 
Your avatarAm sorry that you got an accident (No matching questions found.)Question
03/18/20 11:02 AM PDT
Your avatarAm sorry that you got an accidentNeurological shadow health assessment TranscriptEmpathize
03/18/20 11:02 AM PDT
Tina JonesThanks. 
Your avatarAnd when did the headaches begin? (Clarified to When did the headache begin?.)Question
03/18/20 11:03 AM PDT
Tina JonesIt was a few days after the car accident — I noticed a headache creeping up throughout the day. (Clarified to when the headache began.) 
Your avatarDid you lose consciousness after the car accident? (Clarified to Did you lose consciousness during the car accident?.)Question
03/18/20 11:04 AM PDT
Tina JonesNo, I don’t think I have ever lost consciousness. (Clarified to if I lost consciousness during the car accident.) 
Your avatarHow fast was the car going?Question
03/18/20 11:06 AM PDT
Tina JonesOh, it was really slow. We were in a parking lot. Maybe not even fifteen miles an hour. 
Your avatarWere you wearing a seat belt?Question
03/18/20 11:08 AM PDT
Tina JonesYes, I always do. 
Your avatarwhere in the car were you sitting?Question
03/18/20 11:10 AM PDT
Tina JonesI was in the front passenger seat. 
Your avatarWas the driver under the influence of alcohol? (Clarified to Was anyone under the influence of alcohol when the accident occurred?.)Question
03/18/20 11:12 AM PDT
Tina JonesNo, definitely not. Neither of us had anything to drink. [AUDIO COMING SOON] (Clarified to if anyone was under the influence of alcohol when the accident occurred.) 
Your avatarGreat, it’s not advisable to drink under the influence of alcoholEducate
03/18/20 11:13 AM PDT
Tina JonesAlright, thanks for letting me know. 
Your avatarHow many times have you had the headaches since they started?Question
03/18/20 11:16 AM PDT
Tina JonesI’ve had a headache just about once a day since a couple of days after my accident. Once I feel it coming on, I take something for it and it pretty much goes away for the day. 
Your avatarHow long does the headache last?Question
03/18/20 11:18 AM PDT
Tina JonesAbout an hour or two. 
Your avatarwhen was your last headache?Question
03/18/20 11:19 AM PDT
Tina JonesYesterday afternoon. 
Your avatarwhere are the headaches located?Question
03/18/20 11:22 AM PDT
Tina JonesThe headaches are in the crown of my head, and kind of the back of my head. 
Your avatarDoes the pain radiate?Question
03/18/20 11:23 AM PDT
Tina JonesMaybe? The soreness in my neck feels like it goes up into my head. But its just my neck and head that hurt. 
Your avatarhow does your neck feel?Question
03/18/20 11:23 AM PDT
Tina JonesIt has been pretty stiff and a little painful since the accident. 
Your avatarIs your scalp tender?Question
03/18/20 11:24 AM PDT
Tina JonesNo. 
Your avatarDo you have jaw pain?Question
03/18/20 11:24 AM PDT
Tina JonesNo, not at all. 
Your avatarDo you have any facial pain?Question
03/18/20 11:25 AM PDT
Tina JonesNo. My face is fine. 
Your avatarHow would you rate your pain?Question
03/18/20 11:25 AM PDT
Tina JonesIt’s just my neck that hurts right now. . . I guess I’d say it’s a 3 out of 10. 
Your avatarHow would you rate your pain at its worst?Question
03/18/20 11:26 AM PDT
Tina JonesThey probably get up to a 4. 
Your avatarwhat do your headaches feel like?Question
03/18/20 11:27 AM PDT
Tina JonesThe headaches feel like a dull ache, kind of in the crown of my head, and the back of my head. 
Your avataris the headache pain sharp?Question
03/18/20 11:27 AM PDT
Tina JonesNo, not really. 
Your avatarare your headaches cyclic?Question
03/18/20 11:28 AM PDT
Tina JonesNo, I don’t think so. 
Your avatarDo your headaches come in clusters?Question
03/18/20 11:28 AM PDT
Tina JonesNo, definitely not. 
Your avatardo your headaches crescendo?Question
03/18/20 11:29 AM PDT
Tina JonesIt’s not, like, a sudden, horrible pain, but they don’t worsen gradually either. They just sort of start, and they never get that bad. 
Your avatarWhat caused your pain?Question
03/18/20 11:30 AM PDT
Tina JonesI’m pretty sure it was the car accident. Well, it was really just a fender bender. There was pretty much no damage to the car, and no one got injured, but I guess a sore head and neck can sneak up on you. 
Your avatarDoes it hurt to move your head?Question
03/18/20 11:31 AM PDT
Tina JonesYeah, my neck hurts when I move it. 
Your avatarwhat makes your headache worse?Question
03/18/20 11:31 AM PDT
Tina JonesNothing really makes them worse. . . they just sort of start, and eventually they go away. 
Your avatarhave you tried home remedies?Question
03/18/20 11:32 AM PDT
Tina JonesI’ve been taking Tylenol. And resting helps, too. 
Your avatarDoes your headache get better with rest?Question
03/18/20 11:33 AM PDT
Tina JonesI don’t think so. They just come on and eventually go away. 
Your avatarAre you taking any new medications?Question
03/18/20 11:33 AM PDT
Tina JonesI’ve been taking more Tylenol for my headaches and my neck. 
Your avatarwhat dose of Tylenol do you take?Question
03/18/20 11:36 AM PDT
Tina JonesI’m not sure of the actual dosage, but I generally take 2 regular-strength pills. 
Your avatarHow often do you take the Tylenol?Question
03/18/20 11:37 AM PDT
Tina JonesI’ve been taking it every day since I started getting these headaches. 
Your avatarHow many times a day? (No matching questions found.)Question
03/18/20 11:38 AM PDT
Your avatarDoes Tylenol help?Question
03/18/20 11:38 AM PDT
Tina JonesYeah, it has been helping some. 
Your avatarDo you have any new allergies? Neurological Shadow Health Assessment TranscriptQuestion
03/18/20 11:39 AM PDT
Tina JonesWell, besides cats, I’m allergic to penicillin. 
Your avatarDo you usually get headaches?Question
03/18/20 11:40 AM PDT
Tina JonesThe only time I got headaches before the accident was when I would read or study for a long time. 
Your avatarDo you ever get migraines?Question
03/18/20 11:40 AM PDT
Tina JonesNo, I’m pretty sure my headaches aren’t migraines. 
Your avatarHave you ever had any head trauma?Question
03/18/20 11:41 AM PDT
Tina JonesNo. 
Your avatarHave you had any seizures?Question
03/18/20 11:41 AM PDT
Tina JonesNo. I’ve seen somebody have one, though. It’s scary. 
Your avatarHave your sleep habits changed?Question
03/18/20 11:42 AM PDT
Tina JonesNo. 
Your avatarHave you felt more sleepy?Question
03/18/20 11:42 AM PDT
Tina JonesNo, I feel about the same as usual. 
Your avatarhave you had a fever?Question
03/18/20 11:43 AM PDT
Tina JonesNo, I don’t think so. 
Your avatarhave you had any chills?Question
03/18/20 11:43 AM PDT
Tina JonesNo. 
Your avatarhave you felt fatigued?Question
03/18/20 11:43 AM PDT
Tina JonesNo, I don’t think so. 
Your avatarhave you had nausea?Question
03/18/20 11:44 AM PDT
Tina JonesNo. 
Your avatarany night sweats?Question
03/18/20 11:44 AM PDT
Tina JonesI don’t get sweaty, but sometimes I wake up hot and have to kick off my sheets. 
Your avatarHas one side of your body felt weaker than the other?Question
03/18/20 11:45 AM PDT
Tina JonesNo, I feel about the same. 
Your avatarAny changes in your gait?Question
03/18/20 11:45 AM PDT
Tina JonesNo. 
Your avatarHave you felt weak?Question
03/18/20 11:45 AM PDT
Tina JonesNo. 
Your avatarHave you experienced any auras?Question
03/18/20 11:46 AM PDT
Tina JonesNo. 
Your avatarhave you felt dizzy?Question
03/18/20 11:47 AM PDT
Tina JonesNo, I haven’t been dizzy. 
Your avatarAny loss of coordination?Question
03/18/20 11:48 AM PDT
Tina JonesNot that I’ve noticed. 
Your avatarhave you noticed any scotoma?Question
03/18/20 11:49 AM PDT
Tina JonesI don’t know what that is, so I guess probably not. 
Your avatarhave you felt any tingling?Question
03/18/20 11:49 AM PDT
Tina JonesNo, I haven’t noticed any tingling. 
Your avatarHas your face been flushed?Question
03/18/20 11:50 AM PDT
Tina JonesNope. 
Your avatarhave you felt depressed?Question
03/18/20 11:50 AM PDT
Tina JonesNo, I’ve been fine. 
Your avatarhave you felt more irritable?Question
03/18/20 11:51 AM PDT
Tina JonesNo, not really. 
Your avatarHave you had any problems concentrating?Question
03/18/20 11:51 AM PDT
Tina JonesNo, not really. 
Your avatarHave you felt confused?Question
03/18/20 11:52 AM PDT
Tina JonesNo. 
  Question
03/18/20 11:52 AM PDT
Your avatarhas your vision changed since the accident?Question
03/18/20 11:53 AM PDT
Tina JonesNo, my vision hasn’t changed since the accident. 
Your avatarhave you ever had a blurred vision?Question
03/18/20 11:53 AM PDT
Tina JonesNo, my vision hasn’t been blurry since the accident. But, sometimes it gets blurry when I read for too long — that’s been going on for a while. 
Your avatarany vision problems in just one eye?Question
03/18/20 11:54 AM PDT
Tina JonesNot that I’ve noticed. 
Your avatarAre you sensitive to light since the accident?Question
03/18/20 11:55 AM PDT
Tina JonesNo, I’m not sensitive to light. [AUDIO COMING SOON] 
Your avatarhave you had any congestion?Question
03/18/20 11:55 AM PDT
Tina JonesNo, I haven’t been congested. 
Your avatarhave you had ringing in your ears?Question
03/18/20 11:56 AM PDT
Tina JonesNo. 
Your avatarhave you had any hearing loss?Question
03/18/20 11:56 AM PDT
Tina JonesNo. 
Your avatarhave you had any difficulty swallowing?Question
03/18/20 11:57 AM PDT
Tina JonesNope. 
Your avatarAny history of migraines in your family? Neurological shadow health assessment TranscriptQuestion
03/18/20 11:57 AM PDT
Tina JonesI don’t think so. 
Your avatarAny family history of epilepsy?Question
03/18/20 11:58 AM PDT
Tina JonesNo. 
Your avatarany history of seizures?Question
03/18/20 11:58 AM PDT
Tina JonesNo. I’ve seen somebody have one, though. It’s scary. 
Your avatardo you have a family history of Alzheimer’s disease?Question
03/18/20 11:59 AM PDT
Tina JonesNo. 
Your avatardo you have a family history of Parkinson’s disease?Question
03/18/20 12:00 PM PDT
Tina JonesNo, I don’t think so. 
Your avatarWhat is your name and date of birth?Question
03/18/20 1:29 PM PDT
Tina JonesMy name is Tina Jones, and I was born on February 17th. 
Your avatar Evaluated orientation to personExam Action
03/18/20 1:29 PM PDT
Your avatarWhat building are you in now?Question
03/18/20 1:30 PM PDT
Tina JonesI’m at the doctor’s office. . . it’s Shadow Health General Clinic. 
Your avatar Evaluated orientation to placeExam Action
03/18/20 1:30 PM PDT
Your avatarWhat is the date and year?Question
03/18/20 1:30 PM PDT
Tina JonesUm, today’s date is [Tina says correct date and year]. Neurological shadow health assessment Transcript 
Your avatar Evaluated orientation to timeExam Action
03/18/20 1:30 PM PDT
Your avatarHow are oranges and apples alike?Question
03/18/20 1:32 PM PDT
Tina JonesHow are they alike? Um…. they’re both kinds of fruit. 
Your avatar Evaluated abstract thinking: similarities among fruitExam Action
03/18/20 1:32 PM PDT
Your avatarHow are a lake and an ocean alike?Question
03/18/20 1:32 PM PDT
Tina JonesUh…. they’re both bodies of water. 
Your avatar Evaluated abstract thinking: similarities among bodies of waterExam Action
03/18/20 1:32 PM PDT
Your avatarHow are a trumpet and a flute alike?Question
03/18/20 1:33 PM PDT
Tina JonesThey…… they’re both musical instruments. 
Your avatar Evaluated abstract thinking: similarities among instrumentsExam Action
03/18/20 1:33 PM PDT
Your avatarCount backward by 7s from 100Question
03/18/20 1:34 PM PDT
Tina JonesOkay. . . 100, 93. . . 86, 79, 72. . . 65. . . 58, 51. . . 44. . . 37, 30, 23, 16. . . 9, and 2. 
Your avatar Evaluated attention with serial sevensExam Action
03/18/20 1:34 PM PDT
Your avatar Established one-stage comprehensionExam Action
03/18/20 1:36 PM PDT
Your avatarWho was the first president of the united states?Question
03/18/20 1:37 PM PDT
Tina JonesThat’s George Washington. Neurological Shadow Health Assessment Transcript 
Your avatar Evaluated knowledge of the first presidentExam Action
03/18/20 1:37 PM PDT
Your avatarwho are the last four presidents of the united states?Question
03/18/20 1:37 PM PDT
Tina JonesWell, right now it’s Donald Trump. Before him it was Obama. Before *him* we had Bill Clinton and George W. Bush. 
Your avatar Evaluated knowledge of the last four presidentsExam Action
03/18/20 1:38 PM PDT
Your avatarname five large cities in the united statesQuestion
03/18/20 1:38 PM PDT
Tina JonesLet’s see. . . New York City. . . and Chicago. . . Detroit. . . Los Angeles. . . and Houston. That’s five. Neurological shadow health assessment Transcript 
Your avatar Evaluated knowledge of five large citiesExam Action
03/18/20 1:38 PM PDT
Your avatarWhat would you do if you found a stamped and addressed envelope on the sidewalk?Question
03/18/20 1:40 PM PDT
Tina JonesWhat would I do…. Hmm… Well, I’d try to figure out who dropped the envelope, but if not… Well, I’d probably just drop it in the first mailbox I saw, if there was one nearby. 
Your avatar Evaluated judgmentExam Action
03/18/20 1:40 PM PDT
Your avatarRepeat and remember burger, tulip, nose, and teaQuestion
03/18/20 1:41 PM PDT
Tina JonesBurger, tulip, nose, and tea. 
Your avatar Evaluated immediate memoryExam Action
03/18/20 1:41 PM PDT
Your avatarhow did you celebrate your last birthday?Question
03/18/20 1:41 PM PDT
Tina JonesWow. . . it’s weird, birthdays were huge for us before Dad died because he would always make a really big deal out of them like he loved planning these huge celebrations. But the past two birthdays, he hasn’t been there, so it’s been kind of sad, thinking about what he’s missing, and we haven’t done huge parties or anything. Last birthday. . . Michael and his fiance came over, and we all had dinner at the house, and I opened presents, and we had a really good cake from this bakery I love. It was nice. 
Your avatar Evaluated remote memoryExam Action
03/18/20 1:42 PM PDT
Your avatarRepeat the four words from beforeQuestion
03/18/20 1:42 PM PDT
Tina JonesBurger. . . tulip. . .nose. . . and tea. 
Your avatar Evaluated immediate learningExam Action
03/18/20 1:42 PM PDT
Your avatar Observed patient’s general vocabularyExam Action
03/18/20 1:43 PM PDT
Your avatarwhat classes are you taking?Question
03/18/20 1:43 PM PDT
Tina JonesI’m taking two classes right now, one on auditing and one on managerial accounting 
Your avatar Tested CN I (olfactory nerve) with the smell testExam Action
03/18/20 1:45 PM PDT
Tina JonesF P 
Tina JonesF P 
Your avatar Inspected right pupil and tested pupillary light reflexExam Action
03/18/20 1:49 PM PDT
Your avatar Inspected left pupil and tested left pupillary light reflexExam Action
03/18/20 1:49 PM PDT
Your avatar Inspected fundus of right eye Neurological shadow health assessment TranscriptExam Action
03/18/20 1:50 PM PDT
Your avatar Inspected fundus of the left eyeExam Action
03/18/20 1:52 PM PDT
Your avatarFollow my finger with just your eyesQuestion
03/18/20 1:54 PM PDT
Tina JonesOk. 
Your avatar Tested EOM to the upper rightExam Action
03/18/20 1:55 PM PDT
Your avatar Tested EOM to the upper leftExam Action
03/18/20 1:55 PM PDT
Your avatar Tested EOM to the lower leftExam Action
03/18/20 1:55 PM PDT
Your avatar Tested convergenceExam Action
03/18/20 1:55 PM PDT
Your avatar Tested EOM to the lower rightExam Action
03/18/20 1:55 PM PDT
Your avatar Tested EOM to the lower centerExam Action
03/18/20 1:55 PM PDT
Your avatar Tested EOM to the upper centerExam Action
03/18/20 1:55 PM PDT
Your avatar Tested EOM to the upper centerExam Action
03/18/20 1:55 PM PDT
Your avatarClose your eyes and tell me if the touch is sharp, dull, or softQuestion
03/18/20 1:56 PM PDT
Tina JonesOk. 
Your avatar Tested facial sensation: dull stimulus Neurological Shadow Health Assessment TranscriptExam Action
03/18/20 1:56 PM PDT
Tina JonesDull. 
Your avatar Tested facial sensation: dull stimulusExam Action
03/18/20 1:57 PM PDT
Tina JonesDull. 
Your avatar Tested facial sensation: dull stimulusExam Action
03/18/20 1:57 PM PDT
Tina JonesDull. 
Your avatar Tested facial sensation: dull stimulusExam Action
03/18/20 1:57 PM PDT
Tina JonesDull. 
Your avatar Tested facial sensation: soft stimulusExam Action
03/18/20 1:57 PM PDT
Tina JonesSoft. 
Your avatar Tested facial sensation: soft stimulusExam Action
03/18/20 1:57 PM PDT
Tina JonesSoft. 
Your avatar Tested facial sensation: soft stimulusExam Action
03/18/20 1:57 PM PDT
Tina JonesSoft. 
Your avatar Tested facial sensation: soft stimulusExam Action
03/18/20 1:57 PM PDT
Tina JonesSoft. 
Your avatar Tested facial sensation: sharp stimulusExam Action
03/18/20 1:57 PM PDT
Tina JonesSharp. 
Your avatar Tested facial sensation: sharp stimulusExam Action
03/18/20 1:57 PM PDT
Tina JonesSharp. 
Your avatar Tested facial sensation: sharp stimulusExam Action
03/18/20 1:57 PM PDT
Tina JonesSharp. 
Your avatar Tested facial sensation: sharp stimulus Neurological shadow health assessment TranscriptExam Action
03/18/20 1:57 PM PDT
Tina JonesSharp. 
Your avatar Inspected front of the face for asymmetry and facial droopExam Action
03/18/20 1:58 PM PDT
Your avatar Inspected right side of the face for asymmetry and facial droopExam Action
03/18/20 1:58 PM PDT
Your avatar Inspected back of the head for asymmetryExam Action
03/18/20 1:58 PM PDT
Your avatar Inspected left side of face for asymmetry and facial droopExam Action
03/18/20 1:58 PM PDT
Your avatar Inspected front of face for asymmetry and facial droopExam Action
03/18/20 1:58 PM PDT
Your avatar Inspected left side of face for asymmetry and facial droopExam Action
03/18/20 1:58 PM PDT
Your avatar Inspected front of face for asymmetry and facial droopExam Action
03/18/20 1:58 PM PDT
Your avataris the volume the same in both ears or louder in one earQuestion
03/18/20 2:00 PM PDT
Tina JonesOk. 
Tina JonesSame in both ears. 
Your avatar Performed Weber test with a tuning forkExam Action
03/18/20 2:00 PM PDT
Your avatarTell me when you no longer hear the ringingQuestion
03/18/20 2:01 PM PDT
Tina JonesOk, I will. 
Tina JonesNow. 
Your avatar Tested gag reflexExam Action
03/18/20 2:02 PM PDT
Your avatar Tested trapezius muscle strength against resistance: 5 strength against resistanceExam Action
03/18/20 2:02 PM PDT
Your avatar Tested sternocleidomastoid muscle strength against resistance – head turned to the right: 5 strength against resistanceExam Action
03/18/20 2:03 PM PDT
Your avatar Tested sternocleidomastoid muscle strength against resistance – head turned to the left: 5 strength against resistance Neurological Shadow Health Assessment TranscriptExam Action
03/18/20 2:03 PM PDT
Your avatar Inspected mouthExam Action
03/18/20 2:04 PM PDT
Your avatar Inspected mouth: pushed tongue left with a tongue bladeExam Action
03/18/20 2:04 PM PDT
Your avatar Inspect mouth: pushed tongue right with a tongue bladeExam Action
03/18/20 2:04 PM PDT
Your avatar Inspect mouth: lifted tongue with a tongue bladeExam Action
03/18/20 2:04 PM PDT
Your avatar Inspected mouth: depressed tongue with tongue blade Neurological shadow health assessment TranscriptExam Action
03/18/20 2:04 PM PDT
Neurological Shadow Health Assessment Transcript
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Frequently Asked Questions (FAQs)

1. What are the 4 neurological assessments?

(1) mental state, (2) cranial nerves, (3) motor system, (4) reflexes, (5) sensory system, (6) coordination, and (7) station and gait are the seven categories of neurological assessments.

2. What are the 3 components of a basic neurological assessment?

Cognitive testing, motor strength and control, sensory function, gait (walking), cranial nerve testing, and balance are all part of a neurological exam.

3. When is a neurological assessment appropriate?

If a person has had a head injury or reports a variety of symptoms such as dizziness, fuzzy vision, disorientation, or difficulties with motor activities, a neuro evaluation is performed. This is done to see whether there is any damage or sickness to the nervous system.

Neurological Shadow Health Assessment Transcript

Neurological Shadow Health Assessment Transcript

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