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15 Cards in this Set
- Front
- Back
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What are the dermatomes for central sensation? Peripheral?
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Central: C4-T1
Peripheral: Radial (C6-8) Ulnar (C8-T1) Median (C5-8) |
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How to document normal reflexes? Abnormal?
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0 Absent (0/4)
+ Hypoactive/Diminished (+1/4 b/l) ++ Normal (+ 2/4 b/l) +++ Brisk/Increased (+3/4 b/l) ++++ Hyperactive/Clonus may be present (4/4) |
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Main root for these reflexes
1. Biceps 2. Brachioradiallis 3. Triceps 4. Patellar 5. Achilles |
1. C5
2. C6 3. C7 4. L4 5. S1 |
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Motor test & Sensation test for:
1. Radial nerve 2. Ulnar 3. Median 4. Musculocutaneous |
1. M - wrist extension T - dorsal web space between thumb and index finger
2. M - Abduction T - Distal ulnar aspect - little finger 3. M - Thumb patch, Opposition/Abduction of thumb T- Distal radial aspect - index finger 4. M- deltoid T - Lateral arm - Deltoid patch on upper arm 5. Biceps T- lateral forearm |
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+ for this test indicates central compression of the cervical spine
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Compression (Spurlings Sign)
+ = reproduction of symptoms |
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This is equivalent to the straight leg test for upper limbs. What nerves are checked?
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Upper Limb Tension Testing (ULTT)
Median nerve - anterior interossues & musculocutaneous Radial Nerve Ulnar Nerve |
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What are the steps?
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Scapular Depression
Shoulder Abduction – 90 deg Forearm supination Wrist and Fingers Extended External Rotation of Shoulder Elbow Extension Contralateral then Ipsilateral Cervical Sidebending |
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What are the structures in the Thoracic Outlet?
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Brachial plexus
Subclavian vein Subclavian artery |
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What are the 3 zones for the thoracic outlet?
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Scalene Triangle
Costoclavicular Space Retropectoralis Minor (pec minor) |
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Where is the ulnar nerve most commonly compressed?
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Cubital Tunnel
e.g. Pitching - In cocking position flexor carpi ulnaris compresses cubital tunnel |
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If you fracture your hamate, what is a concern?
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Guyon's Canal Sundrome
- compression/damage to the ulnar nerve in Canal of Guyon |
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If you cannot make the "ok' sign with your thumb & pointer finger what nerve is affected?
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Anterior interosseus branch of median nerve
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What nerve is affected with pronator teres syndrome? Therapy?
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Median Nerve
MFR, ME e.g. tennis player - repetitive pronation of limb |
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What is the hallmark of Carpal Tunnel Syndrome? Nerve?
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Nocturnal Pain
Median Nerve |
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Repetitive Supination can injure which nerve? What special test for this?
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radial nerve
Tinel Sign |
