NEURO/DTR/MYOTOMES/DERMATOMES Flashcards

1
Q

PATHOLOGICAL REFLEXES X 10
(PRESENCE INDICATES AN UMNL)

1–BABINSKI

A

HOW? STROKE UP TO BIG TOE

RESPONSE = DORSIFLEXION OF GREAT TOE W/SPLAYING OF OTHER TOES

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2
Q

PATHOLOGICAL REFLEXES X 10
(PRESENCE INDICATES AN UMNL)

2–CHADDOCK

A

HOW? STROKE LATERAL MALLEOLUS TO 5TH TOE

R = BABINSKI REFLEX

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3
Q

PATHOLOGICAL REFLEXES X 10
(PRESENCE INDICATES AN UMNL)

3–OPPENHEIM

A

HOW?? STROKE TIBIAL CREST TO ANKLE

R = BABINSKI R

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4
Q

PATHOLOGICAL REFLEXES X 10
(PRESENCE INDICATES AN UMNL)

4–GORDON’S CALF

A

HOW? SQUEEZE CALF BELOW THE KNEE

R = BABINSKI R

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5
Q

PATHOLOGICAL REFLEXES X 10
(PRESENCE INDICATES AN UMNL)

5–SCHAEFER

A

HOW? SQUEEZE ACHILLES

R = BABINSKI R

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6
Q

PATHOLOGICAL REFLEXES X 10
(PRESENCE INDICATES AN UMNL)

6–ROSSOLIMMO

A

HOW?? TAP THE BALL OF THE FOOT

R= PLANTAR OF GREAT TOE AND CURLING OF TOES

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7
Q

PATHOLOGICAL REFLEXES X 10
(PRESENCE INDICATES AN UMNL)

7–HOFFMAN

A

HOW?? HO’ DOWN

R = FLEXION OF OF THUMB AND FINGERS

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8
Q

PATHOLOGICAL REFLEXES X 10
(PRESENCE INDICATES AN UMNL)

8–TROMNER

A

HOW ?? T UP

R = FLEXION OF ALL FINGERS

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9
Q

PATHOLOGICAL REFLEXES X 10
(PRESENCE INDICATES AN UMNL)

9—GORDONS FINGER

A

HOW?? STROKE PISIFORM

R = FLEXION OF FINGERS

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10
Q

PATHOLOGICAL REFLEXES X 10
(PRESENCE INDICATES AN UMNL)

10–CHADDOCK’S WRIST

A

HOW ? STROKE DISTAL ULNAR SIDE NEAR WRIST

R = FLEXION OF FINGERS

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11
Q

NEUROLOGICAL EVALUATIONS

DEEP TENDON REFLEXES; WEXLER SCALE

A

O+ TO 5+

2+ IS NORMAL

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12
Q

NAME ALL OF THE DTR’S

A
C5 = MUSCULOCUTANEOUS
C6 = RADIAL
C7 = RADIAL

L4 = FEMORAL
L5 = SCIATIC
S1 = TIBIAL
***PAGE 4 BLUE

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13
Q

MYOTOMES

MUSCLE GRADING X 6 = ??

A
5 =  NORMAL
4 = GOOD
3 = FAIR; AGAINST GRAVITY
2 = POOR
1 = TRACE 
0 = NO CONTRACTILITY
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14
Q

IF NERVE ROOT…NAME MOTOR ACTION; MUSCLE; SENSORY OF;

C5/C6/C7/C8/T1/ = UPPER

L4/L5/S1 = LOWER

***BILATERALLY/UNAFFECTED SIDE FIRST

A

SEE PAGE 5 BLUE

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15
Q

DERMATOMES

UPPER = C4; C5;C6;C7;C8; T1; T2

LOWER = L1;L2;L3;L4;L5;S1

A

KNOW ; SEE PAGE 6 BLUE

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16
Q

USEFUL TESTS X 3

1–GRAPHESTHESIA
2–STEROGNOSIS
3–DIADOCHOKINESIA (SLOW TO FAST FLIP/HANDS)
**CEREBELLAR LESION

**VERBAL COMPONENT =??

A

1/2 = “CORTICAL LESION OR DORSAL COLUMN LESION

17
Q

8-PERIPHERAL NERVE ENTRAPMENTS /CONDITIONS

1–MEDIAN NERVE

SITE AND SIGNS AND SYMPTOMS =??

A

CARPOOL TUNNEL SYNDROME

NOCTURNAL PAIN;NUMB HAND;
= APE HAND VIA AFFECTING FIRST 3 FINGERS

PRONATOR TERES SYNDROME

**PINCH GRIP TEST/TINELS SIGN

18
Q

8-PERIPHERAL NERVE ENTRAPMENTS /CONDITIONS

2–ULNAR NERVE

SITE AND S AND S = ??

A

TUNNEL OF GUYON/CUBITAL TUNNEL

PAIN;TINGLING;NUMBING IN LAST 2 DIGITS
= CLAW HAND

19
Q

8-PERIPHERAL NERVE ENTRAPMENTS /CONDITIONS

3–RADIAL

SITE AND S AND S = ??

A

TRAUMA; –UNABLE TO EXTEND ELBOW OR WRIST. LOSS OF TRICEPS REFLEX;
= WRIST DROP

SITE = SPIRAL GROOVE

20
Q

8-PERIPHERAL NERVE ENTRAPMENTS /CONDITIONS

4–LATERAL FEMORAL CUTANEOUS

SITE AND S AND S = ??

A

MERALGIA PARESTHETICA; OVER PUBIC BRIM UNDER INGUINAL LIGAMENT

OBESITY AND TIGHT JEANS

BURNING DYSESTHESIA; ANTEROLATERAL THIGH; L2/L3 NERVE ROOTS

21
Q

8-PERIPHERAL NERVE ENTRAPMENTS /CONDITIONS

5–SCIATIC

SITE AND S AND S = ??

A

SENSORY PAIN IN THE POSTERIOR BUTTOCKS; THIGH, LEG DOWN TO FLOOR; WEAK KNEE FLEXION AND DECREASED ACHILLES REFLEX

TRAUMA; WALLET PRESSURE

22
Q

8-PERIPHERAL NERVE ENTRAPMENTS /CONDITIONS

6–TIBIAL

SITE AND S AND S = ??

A

TARSAL TUNNEL SYNDREOME; BURNING ON SOLES OF FEET; DECREASED SENSE ON SOLES OF FEET ADN WEAK FOOT MUSCLES;

POSTERIOR TRAUMATIC ANKLE/SUBLAXATION;ARTHRITIS/EDEMA

23
Q

8-PERIPHERAL NERVE ENTRAPMENTS /CONDITIONS

7–MORTON’S NEUROMA

SITE AND S AND S = ??

A

BETWEEN THIRD AND FOURTH METATARSALS; REPETITIVE MICROTRAUMA; RA;FOOT DEFORMATIES

PAIN IN THE TOES AND DORSUM OF THE FOOT

MORTONS SQUEEZE; SURGERY

24
Q

8-PERIPHERAL NERVE ENTRAPMENTS /CONDITIONS

8–DEEP PERONEAL

SITE AND S AND S = ??

A

ANTERIOR COMPARTMENT SYNDROME

CAN AFFECT ANY OF THE 4 ANTERIOR MUSCLES; S/S LIKE CHARCOT MARIE TOOTH