Complex Sensory Function Tests Flashcards
What does Romberg test
Maintaining balance involves three components inputs and the cerebellum to integrate them. Eyes ears and feet
Visual
Proprioception dorsal columns
Romberg with eyes clothes
Severe vestibular - hearing, tinn
Severe proproception- greater phalangeal
Midline cerebellar - cn sign, upper motor ataxia
An abnormal Romberg suggests
Dorsal track problem
Threshold in mm for two point discrimination on finger tips vs back
4 mm and 3 cm on back
Cortical sensory cortex deficit are suggested by.
Involves hands Can't recognize objects keys Agraphesthesia Asterosthesis. Can't localize pain. Cortical Blink to threat.
How to trick psych patients 9
- Have them draw out the sensory deficit distribution
- Do the midline split - normally stops before you get ther 3 cm
- They have abrupt changes. No transition
- Confusing. Organic is pretty
- They are using surface land marks. Arm pit nipple lines
- They have posterior column loss but walk fine
- Can hold up leg but when you place it on leg and have them drag it it they hold it forever.
- Vibration on bony surfaces.
- Hoover
Describe mono pathy pattern vs poly
Mono - pattern
Poly - stocking glove symmetrical
Define mononeutopathic multiplex
Multiple mononeuropathes.
Differential for bells
Ms
Sarcoidosis ace
Treat the same
Amyloidosis caused by 2 things
Multiple melanoma
Heredity transthyretin genetic mutation
Symptoms of amyloid
Autonomic Sexual Postural hypotension Good tendon reflexes Distal tingling Numbness Dysesthesis Bowel bladder problems.
Dx
Examine abdominal fat for amyloid deposited
Amyloid and and pain
Prominent
From deposited on nerve endings
Tx for Amyloidosis
Alkalating agents
Stem cell transplant
For heredity is liver transplant.
