Back Flashcards
Reflex: testicles
Hop flexion
Sens: Ant thigh? Knee?
Motor:
Weak quads knee ext?
Reduced knee reflex
Positive FEMORAL stretch test
Reflex: testicle L1,2
Hip flexion = L1,2
L3 Ant thigh; L4 ant knee
L3+4=
Weak quadriceps knee ext
Reduced knee reflex
Positive FEMORAL stretch test
Reflex: Patellar?
Myotome:
knee extensors - quads?
Ankle dorsiflexors - Tibialis anterior?
Toe extensors - hallucis longus?
Reflex: L3,4 kick the door
Myotome:
knee extensors quads - L3
Ankle dorsiflexors - Tibialis ant - L4 + 5
Toe extensors - hallucis longus- L5
Sens: Dorsum foot?
Motor:
Weakness in dorsiflexion ANDDDDD foot inversion?
Positive SCIATIC nerve stretch test at??
L5 – Dorsum foot
L5=Weakness in HipABduct + dorsiflex ankle+bigtoe + foot INversion + dorsum sensation SLRpos + reflexes fine
(common peroneal nerve = unable to
dorsiflex ankle+bigtoe(EHLongus) +
foot Evert +
dorsum + low-lat sensation
Positive SLR ie. SCIATIC nerve stretch test @ both L5 + S1
Sens: PostLatLeg + LatFoot?
Motor:
Weakness in plantar flexion of foot?
Positive SCIATIC nerve stretch test
Reduced ankle reflex?
S1 – PostLatLeg + LatFoot
S1=
Weakness in PLANTarflexion of foot
Positive SLR ie. SCIATIC nerve stretch test @ both L5 + S1
Reduced ankle reflex @ S1 + 2
1 loss: ankle jerk + plantar reflex AND knee flexion AND power below knee?
2 LBP gradually worse
Positive straight leg raise
1 Sciatic neuropathy
2 Sciatic nerve pain
Loss of anterior thigh sensation
Femoral neuropathy
Reflex: biceps + brachiorad?
Myotome:
elbow flexors/biceps?
wrist extensors?
Reflex: C5,6 pick up sticks
Myotome:
elbow flexors/biceps = C5
wrist extensors = C6
Reflex: biceps + brachiorad?
Reflex: Triceps?
Myotome:
elbow flexors/biceps?
wrist extensors?
elbow extensors ie. triceps?
Long finger flexors?
Small finger abductors?
Reflex: biceps C5,6 pick up sticks
Reflex: triceps C7,8 lay em straight
Myotome:
elbow flexors/biceps = C5
wrist extensors = C6
elbow extensors ie. triceps = C7
Long finger flexors = C8
Small finger abductors = T1
Reflex: Ankle achilles?
Reflex: Anal wink?
Myotome:
Ankle plantar flexors ie - gastrocnemius
Reflex: S1,2
Reflex: S3,4
Myotome:
Ankle plantar flexors - gastrocnemius - S1
Pain worse @ AM + standing + extension
Pain over facets
NORMAL SCIATIC SLR!!!!
Facet joint
Gradual,
uni/bilat leg pain +/- back pain
WEAK and NUMB @ walk
Resolves @ sit/lean forward
Need MRI to confirm
Spinal stenosis
Lower back pain + stiffness in MAN
Worse in morning, better with activity
Ankylosing spondylitis
Pain @ walking, relieved @ rest
Shit pulses + limb ischaemia pulse
PMH = VIDEOS FAGE AAA
Peripheral arterial disease
Patient has pain, parathesia @ dermatome, Reduced range of movement
On neck flexion he gets a shooting pain. What sign is this?
Cervical spondylosis
Lhermitte sign
Physio, analgesias, brace, surgery
General theme for prolapsed disc type shit is PHYSIO and analgesia
Patient has radicular pain radiating between shoulder blades To the back of head
Cervical spondylo LisThesis
Cervical vertebrae displaced anteriorly and deformity and narrow vertebral canal
Meyer Ding grading system
Danis Weber system @ ankle (not relevant at all, just adding it)(below, on, above syndemosis)
Physio analgesia surgery
General theme for prolapsed disc type shit is PHYSIO and analgesia
Patient has brach(arm)algia With radiculopathy, pain parasthesia weakness
Cervical disc prolapse Nucleus propulsus = herniates through annulus ligament
Mild – no neuro symptoms = physio analgesia
Moderate – only radicular symptoms - surgery
Severe - URGENT DECOMP
General theme for prolapsed disc type shit is PHYSIO and analgesia
MRC power grading scale
Move @:
Full resistance
Some resistance
No resistance + gravity
No resistance + @gravity elimination eg @ supine
Muscle flicker
Muscle nothing
Bilateral spastic paresis UMN
Bilateral loss of pain and temp
Bilateral spastic paresis #UMN
Bilateral loss of pain and temp
Bilateral limb ataxia
Bilateral spastic paresis UMN
Bilateral loss of pain and temp
Bilateral limb ataxia
Cerebellar ataxia
Same side loss of prop and vib - DC
Opp side loss of pain and temp - ST
Same side LMN at level and UMN below lesion
Anterior spinal artery occlusion
Subacute Combo Degen SCord - B12def
Fredrichs Ataxia
Brown sequard
Flacid paresis especially instrinc hand muscles
+ Loss of pain and temp
Loss of prop and vib
Syringomyelia
Tabes doralis neurosyphilis
Flexion (hip, knee, plantarflex)
Extension (hip, knee, dorsiflex)
Gluteal, femoral, peroneal
Flexion (hip, knee, plantarflex)
Femoral, sciatic, tibial
L1,2; L5 S1; S1
Extension (hip, knee, dorsiflex)
Gluteal, femoral, peroneal
L5 S1 / L3,4 / L4,5
Dermatomes; Nipple Umbilicus/bellybutton Inguinal ligament Knees Toes Lat foot/small toe
T4 at the Teat Pore, BellybuT-TEN(T10), L for ligament, 1 for 1nguinal , Down on aLL fours - L4, L5 = Largest of the 5 toes, S1 = the smallest one
