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Thursday, October 28, 2010

Neurological Assessment : Checks Pupils

Neurological Assessment : Checks Pupils


Neurological Assessment : Checks Pupils


  1. Observes Both Pupils Simultaneously For: Equality, Size and Shape.
    • Compares pupils for equality.
    • Determines size, dilated, constricted, pinpoint.
    • Determines irregularities in shape.

  2. Observes Direct Pupillary Light Reflexes.
    • Checks one pupil at a time.
    • Shines flashlight into eye from side.
    • Repeat other eye.

  3. Observes Consensual Pupillary Reflex
    • Shines flashlight into each eye alternately.
    • Observes opposite pupil. Opposite pupil should constrict when light shore.
    • Charts description of pupils: Equality, size, shape, reaction to light.

  4. Observes pupillary response to accommodation
    • Have patient follow a closer moving object such as a pen.
    • Pupils will constrict (or accommodate) to the closer moving object. * cannot be tested on blind or confused persons.

  5. Observes Extraocular Movements
    • Asks patient to focus on object.
    • Moves object; medical, lateral, superior, inferior and circular. In the pattern of an "H."
    • Observes movement of both eyes in each of above directions; notes abnormalities or weakness. A. Charts extraocular movements as "full" if no abnormalities or "unable to move eyes laterally, medially etc."
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