Functional Localisation Flashcards

1
Q

What would be seen on inspection of a CNS lesion?

A

Limb posture

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2
Q

What would be seen on examining tone in a CNS lesion?

A

Increased spasticity/clonus

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3
Q

What would be seen on examining tone in a PNS lesion?

A

Decreased tone

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4
Q

What would be seen on inspection of a PNS lesion?

A

Wasting/fasciculation

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5
Q

What would be seen on inspection of a NMJ lesion?

A

Additional ptosis/opthalmoplegia

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6
Q

What would be seen on inspection of a muscle lesion?

A

proximal wasting

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7
Q

What would be seen on examining tone in a NMJ lesion?

A

Same or decreased done

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8
Q

What would be seen on examining tone in a muscle lesion?

A

Same or decreased done

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9
Q

What pattern of weakness would be seen in a CNS lesion?

A

Pyramidal pattern:

Arms: Extensors weaker than flexors

Legs: Flexors weaker than extensors

Brain: contralateral

Spine: ipsilateral

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10
Q

What pattern of weakness would be seen in a PNS lesion?

A

Peripheral neuropathy: distal weakness

Root / plexus / mononeuropathy: dependent on innervated muscles

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11
Q

What pattern of weakness would be seen in NMJ pathology?

A

Normal

Increased fatiguability

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12
Q

What pattern of weakness would be seen in muscle pathology?

A

Decreased strength

Proximal weakness (symmetrical)

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13
Q

What would be seen on examining reflexes in CNS pathology?

A

Increased

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14
Q

What would be seen on examining reflexes in PNS pathology?

A

Decreased

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15
Q

What would be seen on examining reflexes in NMJ pathology?

A

Normal or reduced

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16
Q

What would be seen on examining reflexes in muscle pathology?

A

normal or reduced

17
Q

What would be seen on examining plantar response in CNS pathology?

A

Extensor response

18
Q

What would be seen on examining plantar response in PNS pathology?

A

Flexor/mute response

19
Q

What would be seen on examining plantar response in NMJ pathology?

A

Flexor response

20
Q

What would be seen on examining plantar response in muscle pathology?

A

flexor response

21
Q

Are there any associated sensory symptoms with CNS pathology?

A

Brain: hemisensory

Spinal cord: sensory level

22
Q

Are there any associated sensory symptoms with PNS pathology?

A

Peripheral neuropathy: glove + stocking

Root etc: dependent on, e.g. dermatone

23
Q

Are there any associated sensory symptoms with NMJ pathology?

A

NO

24
Q

Are there any associated sensory symptoms with muscle pathology?

A

no