CHART OF THE MOTOR DYSFUNCTION AND SENSORY IN PACKET

Question 0

LMN

Answer 0

ALL MOTOR LOST in path

ATROPHY, FASICULATIONS, FIBRILLATIONS

decrease tone

decrease voluntary movement

weak or paralyzed for coordination

NO DTR and NO BABINSKI

Question 1

Sensory nerve lesion

Answer 1

lose reflex and tone bc lost sensory part of reflex arc

MOVEMENT NOT AFFECTED

decrease tone

normal voluntary movement

normal coordination if eyes open, not if eyes closed

NO DTR

NO BABINSKI

Question 2

SCI

Answer 2

all motor and sensory lost below level of lesion

ATROPHY in flaccid stage

decre tone then get spasticity

absent voluntary movement below level of lesion

absent coordination below lesion

absent then HYPER of DTR and ABNORMAL Babinski

Question 3

Cerebral Cortex

Answer 3

most common stroke in internal capsule –interrupt motor and sensory to contralateral side

normal at rest appearance

decr then INCREASED TONE

voluntary movement: weakness, pathological synergies

poor coordination

absent then INCREASE DTR, absent then ABNORMAL BABINSKI

Question 4

Basal Ganglia

Answer 4

loss balance between cholenergic and dopamine

rigidity, TREMOR AT REST, poverty of movement

RIGIDITY

SLOW MOVEMENT: BRADYKINESIA

slowed coordination

NORMAL DTR!!!!!

dont have a babinski sign

Question 5

Cerebellar

Answer 5

deficit in coordination, balance, hypotonia depending on where it is

NO PARALYSIS, normal appearance at rest

TONE: normal or decreased

voluntary movement: normal or decr strength

coordination: POOR COORDINATION, INTENTION TREMOR

DTR: SWINGING or PENDULAR REFLEX

no babinski sign

Question 6

Sensory Loss Pattern

AHC

Answer 6

normal sensoation

decreased DTR

cause by POLIO, ALS, other motor neuron disease

Question 7

Sensory Loss Pattern

Spinal Roots and Nerves

Answer 7

loss all sensation in distribution of dermatome

DTR decreased or absent

caused by bulging or herniated disc

Question 8

Sensory Loss Pattern

Peripheral nerve mononeuropathy

Answer 8

lose all sensation in affected nerves distribution

DTR silent or absent

due to compression or trauma

Question 9

Sensory Loss Pattern

Peripheral Nerve polyneuropathy

Answer 9

loss of all sensation in stocking and glove distribution

DTR decreased or absent

cause: systemic toxicity , alcoholism, diabetes, drug toxicity

Question 10

Sensory Loss Pattern

NMJ

Answer 10

normal sensation

normal DTR

cause: myasthenia gravis

Question 11

Sensory Loss Pattern

Muscle issue

Answer 11

normal sensation

normal or decreased or absent DTR

caused by muscular dystrophy

Question 12

Sensory Loss Pattern

Posterior Columns

Answer 12

lose: POSITION, Vibration sense, stereognosis and 2 pt discrimination (dorsal column medial lemniscus)

sensory loss below the level of the injury SAME SIDE

DTR: INCREASED

cause: trauma, tumor

Question 13

Sensory Loss Pattern

Thalamus

Answer 13

all sensation loss/or decreased–entire contralateral body

THALAMIC PAIN

DTR increased

cause: stroke

Question 14

Sensory Loss Pattern

Sensory Cortex

Answer 14

lose cortical sensations on entire contralateral body

DTR increased

cause: stroke

Question 15

Sensory Loss Pattern

Basal Ganglia

Answer 15

no sensory loss

DTR normal

cause: PD

Question 16

MONONEUROPATHIES

Answer 16

COMPRESSION (painful)
Diabetes (painful)
Herpes Zoster (painful)
Trigeminal Neuralgia (painful)
ischemia (painful)
nutritional (painful)
multiple myeloma (painful)

TRAUMA
VASCULITIS
POST INFECTIOUS INFLAMMATORY
TUMORS

Question 17

multiple mononeuropathy

Answer 17

multiple compression
diabetes
demyelination with conduction block
necrotizing vasculitis
post infectious inflammatory
malignant infiltration

Question 18

polyneuropathy

Answer 18

CMT
neurotoxins, lead, mercury
diabetes, renal disease
guillain barre
Lyme disease
alcoholic
medication to tx aids
high bp
chemotherapy 
vincristine
cisplatin
dilantin
RA
SLE-systemic lupus erthematosis
nutritional vitamin b deficient 
MULTIPLE MYELOMA