Muscle Weakness Flashcards
Q. A man went a got drunk and he fell asleep. Then he start complaining of weakness in his wrist and fingers extension and wrist drop. What’s is this condition called? And what’s the nerve affected?
Saturday night palsy. radial nerve lesion
Q. A teenager presented with rapidly progressive ascending weakness starting from feet and going upward after having gastroenteritis. What’s your diagnosis? And treatment?
Guillian barre syndrome / treat with immunoglobulines and plasma exchange
Q. When a very old ptn or alcoholic start to have mental changes as senile after a fall or trauma what do you expect to find in their CT scan?
Subdural hematoma ( from a venous sinus tear )
A. The ability to touch the tip of the thumb to the tip of the little finger is an action of what nerve?
Median nerve
A. Extension of the thumb and finger is responsibility for what nerve?
Radial nerve
A. Flexion of the wrist is partially controlled with what nerve?
Median nerve
A. Name the nerve responsible for thumb abduction?
Radial nerve
A. Name the nerve responsible for Finger abduction ?
Ulnar nerve
Q. Ptn presented with confusion, irritability few hours after being hit by a baseball ball ( he was normal in the first few hours ) what’s your diagnosis?
Subdural hematoma ( symptoms don’t appear immediately after the trauma )
A. Whats the cause of Wernick encephalopathy and whose the group affected?
It’s because of thiamine deficiency in chronic alcoholics
A. What’s the S&S for Wernick encephalopathy ?
Oculomotor disturbance, cerebellar ataxia, mental confusion
A. How to treat Wernick encephalopathy?
Give 100mg f thiamine IV or IM along with magnesium sulfate and then glucose
A. Why is Wernick encephalopathy common in chronic alcoholics?
Because of thiamine deficiency
