Neuro intro Flashcards
1
Q
2 critical neuro questions
A
- where is the lesion?
2. what is the lesion?
2
Q
2 what to localize the lesion
A
- Hx
- physical
- pattern of Sx and signs will tell you where it is
3
Q
5 UMN findings
A
- spacticity
- hyper-relfexia
- pyramidal pattern of weakness
- upgoing toes
- clonus
4
Q
where are diseases in UMN lesiosn
A
corticospinal tract
5
Q
4 LMN findings
A
- atrophy
- flaccid tone
- fasiculations
- hypo-reflexia
6
Q
3 area of LMN lesiosn
A
- nerve roots
- anterior horn cells
- peripheral nerves
7
Q
**how do vascular events present
A
abrupt onset
8
Q
** how do inflammatory event present
A
gradual onset over hours to days
9
Q
4 things you might expect in R hemi lesion
A
- L hemiplegia
- L hemi-sensory
- cog Sx
- UMN findings in L arm and leg
10
Q
5 things might find in a L lumbosacral nerve root lesion
A
- back and radiating L leg pain
- weakness in myotomal dist.
- sensory loss in dermatomal pattern
- loss of deep tendon reflax
- muscle atrophy in L leg
11
Q
5 things might find in a thoracic cord lesion
A
- bilateral lower limb weakness
- bilateral lower limb sense loss
- sensory level on torso too
- bowel and bladder Sx
- UMN findings in legs
12
Q
2 findings for a diffuse, length dep. peripheral neuropathy
A
- bilateral limb sense loss
2. reduced or absent diatal reflexes
13
Q
7 findings for NMJ disorder
A
- fluctuation weakness
- ptosis
- diplopia
- bulbar sx
- diffuse limb weakness
- resp sx
- no sensory Sx
14
Q
5 things an EMG and nerve conduction study assesses
A
- peripheral neuropathy
- radiculappathy
- anterior horn cell disease
- myopathy
- NMJ disorders
15
Q
** why localize a lesion?
A
- there is a DDx for each location
