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18 Cards in this Set
- Front
- Back
Deep Fibular Nerve
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FOOT DROP, paresthesia in webspace between big toe and second toe
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Femoral Nerve
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(from posterior division of L2, L3, L4)
longest branch is saphenous nerve - sensation over area of great saphenous vein; impaired ability to flex at hip and extend knee; decreased patellar reflex |
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Superior Gluteal Nerve
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(L4, L5, S1 - exits via greater sciatic foramen above piriformis) innervates gluteus medius, minimus and tensor fascia latae; impaired hip abduction , in walking - "Trendlenburg" gait: pelvic tilt (sag) toward opposite side form lesion
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Inferior Gluteal Nerve
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(L5-S2; gluteus maximus - exits greater sciatic foramen below piriformis w/ pudendal and sciatic)
impaired lateral rotation and extension of thigh at hip, DIFFICULTY GETTING UP FROM A CHAIR, gluteus minimus gait = thrust torso posteriorly |
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Superficial Fibular Nerve
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impaired eversion and dorsal sensation, but extension is intact
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Tibial Nerve
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"tarsal tunnel syndrome" = decreased flexion of big toe, difficulty standing on tiptoe
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Obdurator Nerve
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(L2-4, anterior division, medial thigh-adductors- exits via obdurator canal)
impaired adduction of thigh at hips |
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Terrible triad
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anterior cruciate ligament
medial collateral ligament medial meniscus |
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Anterior drawer sign
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tibia displaced anteriorly to femur in flexed knee
indicated ACL tear |
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Sx of torn Medial collateral ligament
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pain when leg is rotated medially at the knee (abnl passive abduction)
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Foot drop (loss of dorsiflexion)
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tibialis anterior
Comon peroneal nerve (L4-S2) (PED: Peroneal Everts and Dorsiflexes) |
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Loss of plantar flexion
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gastroc and soleus
Tibial N (L4-S3) TIP: Tibial Inverts and Plantarflexes (if injured, can't stand on TIPtoes) |
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Loss of knee jerk
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Femoral Nerve
L2,3,4 |
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Loss of hip adduction
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Obdurator (L2,3,4)
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Vertebral disk herniation usu occurs between which vertebrae?
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between L5 and S1
Sciatica! |
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Lumbar puncture pierces which structures?
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SLEDsA to CSF
Skin/superficial fascia Ligaments (supraspinous, interspinous and ligmentum flavum if puncture is off midline) Epidural space and intralaminal space Dura mater subdural potential space Arachnoid CSF is in the subarachnoid space |
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Which nerve extends the knee?
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femoral
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Which nerve flexes the knee?
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Tibial
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