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Patient Assessment Methods I > Nerve Roots & Peripheral Nerves > Flashcards

Nerve Roots & Peripheral Nerves Flashcards

1
Q

If there is a motor complaint, what should you think of first?

A

Nerve root (muscle) test first
Also perform dermatome and reflex evaluation

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2
Q

When finding muscle weakness, what connections should you be making?

A
  • Nerve root
  • Peripheral nerve
  • Pure patch and reflexes
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3
Q

The motor complaint is weak abduction of the arm
Nerve root:
Peripheral nerve:

A

Nerve root: C5
Peripheral nerve: Axillary nerve

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4
Q

The motor complaint is weak external rotation of the arm
Nerve root:
Peripheral nerve:

A

Nerve root: C5
Peripheral nerve: Axillary nerve

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5
Q

The motor complaint is weak elbow flexion in supinated position
Nerve root:
Peripheral nerve:

A

Nerve root: C5 (some C6)
Peripheral nerve: Musculocutaneous

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6
Q

The motor complaint is weak elbow flexion in thumb up position
Nerve root:
Peripheral nerve:

A

Nerve root: C6
Peripheral nerve: Radial nerve

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7
Q

The motor complaint is weak wrist extension
Nerve root:
Peripheral nerve:

A

Nerve root: C6
Peripheral nerve: Radial nerve

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8
Q

The motor complaint is weak elbow extension
Nerve root:
Peripheral nerve:

A

Nerve root: C7
Peripheral nerve: Radial nerve

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9
Q

The motor complaint is weak wrist flexion
Nerve root:
Peripheral nerve:

A

Nerve root: C7
Peripheral nerve: Ulnar and median nerves

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10
Q

The motor complaint is weak finger flexors
Nerve root:
Peripheral nerve:

A

Nerve root: C8
Peripheral nerve: Median nerve

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11
Q

The motor complaint is weak finger ab/adduction
Nerve root:
Peripheral nerve:

A

Nerve root: T1
Peripheral nerve: Ulnar nerve

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12
Q

Chief complaint: can’t crush apples with my right hand anymore
Nerve root:
Peripheral nerve:

A

Weak finger flexors
Nerve root: Right C8
Peripheral nerve: Right median nerve

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13
Q

Chief complaint: can’t disco with my right arm anymore
Nerve root:
Peripheral nerve:

A

Weak abduction of the arm
Nerve root: Right C5
Peripheral nerve: Right axillary nerve

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14
Q

Chief complaint: can’t turn the throttle on my little jet (or motor bike)
Nerve root:
Peripheral nerve:

A

Weak wrist extension
Nerve root: C6
Peripheral nerve: Radial nerve

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15
Q

If there is a sensory complaint, what should you think of first?

A

Nerve root (dermatome) test first
Also perform motor and reflex evaluation

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16
Q

When evaluating a sensory complaint, what connections should you be making?

A
  • Nerve root’s dermatome
  • Peripheral nerve pure patch overlaying dermatome
17
Q

The sensory complaint is lateral arm numbness and tingling
Nerve root:
Peripheral nerve:

A

Nerve root: C5
Peripheral nerve: Axillary nerve

18
Q

The sensory complaint is lateral forearm numbness and tingling
Nerve root:
Peripheral nerve:

A

Nerve root: C6
Peripheral nerve: Musculocutaneous nerve

19
Q

The sensory complaint is mid palm and third digit numbness and tingling
Nerve root:
Peripheral nerve:

A

Nerve root: C7
Peripheral nerve: Median (not the pure patch)

20
Q

The sensory complaint is lateral index finger numbness and tingling
Nerve root:
Peripheral nerve:

A

Nerve root: C6
Peripheral nerve: Median nerve

21
Q

The sensory complaint is medial forearm numbness and tingling
Nerve root:
Peripheral nerve:

A

Nerve root: C8
Peripheral nerve: Ulnar nerve

22
Q

The sensory complaint is medial fifth digit numbness and tingling
Nerve root:
Peripheral nerve:

A

Nerve root: C8
Peripheral nerve: Ulnar nerve

23
Q

The sensory complaint is dorsal web numbness and tingling
Nerve root:
Peripheral nerve:

A

Nerve root: C6
Peripheral nerve: Radial nerve

24
Q

The sensory complaint is medial upper arm numbness and tingling
Nerve root:
Peripheral nerve:

A

Nerve root: T1
Peripheral nerve: (medial brachial cutaneous)

25
Q

Chief complaint: numbness and tingling at the base of the thumb (anatomical snuff box)
Nerve root:
Peripheral nerve:

A

Nerve root: C6
Peripheral nerve: Radial nerve

26
Q

Chief complaint: numbness and tingling in tip of index finger
Nerve root:
Peripheral nerve:

A

Nerve root: C6
Peripheral nerve: Median nerve (pure patch)

27
Q

Chief complaint: numbness and tingling in tip of pinky
Nerve root:
Peripheral nerve:

A

Nerve root: C8
Peripheral nerve: Ulnar nerve (pure patch)

28
Q

Chief complaint: numbness and tingling in medial forearm
Nerve root:
Peripheral nerve:

A

Nerve root: C8
Peripheral nerve: Ulnar nerve

29
Q

What are seven conditions associated with positive findings for peripheral nerves?

A
  • Entrapment
  • Vitamin deficiencies (B1, B12, etc.)
  • Vascular changes (diabetes)
  • Infection (Lyme)
  • Systemic conditions (myxedema, pregnancy, etc.)
  • Autoimmune conditions (MS, Guillain Barre, etc.)
  • Primary muscle pathology

Patient Assessment Methods I (22 decks)

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