MEDIAN NERVE IS LOAF ( ER)

Question 1

ROOT

Answer 1

C5 TO T1

Question 2

LEVEL OF INJURY

Answer 2

HIGH = PARALYSE ALL MUSCLE SUPPLIED + SENSORY DEFICIT
LOW = PARALYSE ALL MUSCLE OF ARM SPARING FOREARM MUSCLE + SENSORY DEFICIT

Question 3

DEFORMITY

Answer 3

APE THUMB DEFORMITY
INABILITY TO PERFORM OK SIGN
INABILITY TO MAKE A FIST AS INDEX AND MIDDLE FINGERS LAG DUE TO PARALISIS OF 1 AND 2 LUMRICALS
CLAW HAND
CARPEL TUNNEL SYNDROME

Question 4

SCREENING TEST

Answer 4

LOSS OF SENSATION OF TIP OF INDEX FINGER

Question 5

CLINICAL TESTS

Answer 5

TESTS FOR FLEXOR MUSCLES
TEST FOR ABDJUCTOR MUSCLE
TEST FOR OPPONES MUSCLE

Question 6

FLEXOR TEST

Answer 6

POINTING INDEX TEST = WHEN BOTH HAND CLASP TOGETHER INDEX FINGER FAIL TO FLEX .
BENEDICTION TEST = UNABLE TO FLEX INDEX AND MIDDLE FINGER ON LIFTING THE HAND
OTHERS =
WHEN TRYING TO PALMAR FLEX , WRIST DEVIATES TO ULNAR SIDE
PROXIMAL PHALYNX OF THUMB KEPT STEADY , PATIENT ASKED TO FLEX DISTAL PHALYNX

Question 7

ABDUCTOR TEST

Answer 7

PEN TEST = PATIENT ASKED TO LAY HIS PALM ON THE TABLE WITH PALM FACING THE CEILING , PEN PLACED ABOVE THE PALM , AND PATEINT ASKED TO TOUCH THE PAL WITH TIP OF THUMB.

Question 8

OPPONENS TEST

Answer 8

PIN TEST = PATIENT UNABLE TO PICK UP PIN WITH THUNB AND INDEX FINGER

Question 9

SCREENING TEST

Answer 9

SENSATION CHECKED ON TIP OF INDEX FINGER