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26 Cards in this Set
- Front
- Back
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Neurological examination of the limbs follows what sequence?
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Inspection Tone Power Reflexes Sensation Coordination |
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Upper limb: Inspection |
Posture Wasting Fasciculation Small muscle wasting |
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What happens after inspection? |
Tone |
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How do you inspect tone? |
Move the elbow and wrist joints at the same time Rotate the wrist - cogwheeling, tremor super imposed Spastic catch |
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How do you look for a spastic catch? |
Supinate or pronate the hand quickly looking for any resistance |
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After tone comes? |
Power |
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For the upper limb, what order is this? |
Shoulder Wrist Fingers and thumbs |
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How do you check shoulders? |
Ask her to raise her elbows (looking at how easy it was) Measure one at a time PUSH DOWN AND UP |
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How do you check elbow? |
Put elbow at 90 degrees with forearm vertical Ask patient to resist flexion and extension |
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How do you check wrist? |
Ask the patient to put wrist in the air and resist both flexion and extension Holding the forearm |
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How do you check finger strength? |
C5 and C6 Two fingers, should not be able to move the fingers out |
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What next? |
Abduction |
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How do you check abduction? |
Ask the patient to splay fingers and resist you trying to adduct them |
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After finger abduction comes? |
Thumb abduction |
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How to you test that? |
Thumb in the air Blah blah blah |
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After thumb abduction comes? |
The finger to thumb strength test Don't break the ring |
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What comes after power? |
Reflexes? |
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Which reflex to start? |
Biceps |
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After biceps tendon? |
Triceps tendon |
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What after the triceps tendon? |
Supinator jerks and pronator jerks |
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If you have a problem what do you do? |
Ask the patient to clench their teeth |
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What comes after the reflexes?
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Sensation |
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How do you test that? |
Cotton wool Pinprick |
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How do you test cotton wool? |
Ask the patient to close their eyes and put cotton wool on the DERMATOMES!! |
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How do you test pin prick? |
Use a needle that is sharp on one side and blunt on the other and ask the patient if it is sharp or blunt use either sharp or blunt? Check the dorsum of the ark: Does that feel the same all the way up? Does that feel the same as that? |
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How do you do coordination? |
Check is the patient can touch their nose and the your finger whilst moving it around Ask if the patient can do back of the hand and front of the hand quickly |
