Neuromuscular diagnosis Flashcards
what is the responsibilities of the cerebellum?
Speech
Gait
what tests would you perform to diagnose the cerebellum?
1) Romberg Test
2) Squatting on one foot
3) Tandem gait
4) Finger to nose
5) Finger to finger
6) Finger to nose to finger
7) Heel to shin
8) Holmes rebound phenomenon
9) Hopping on one foot
10) Ability to perform rapid alternating movements
ARTSFFFHHH
What is charcot’s neurological triad? And what does it indicate?
Speech (dysarthria)
Intention tremor
Nystagmus
It indicates a major cerebellum issue
What is the responsibility of the posterior column tracts?
(Sensory)
2 point discrimination
Vibration
Potion sense
What tract is responsible for voluntary control?
Corticospinal
What tract is responsible for pain and temperature?
Lateral spinothalamic
What tract is responsible for protopathic (crude light touch)?
Anterior spinothalamic tract
What is the vestibulo spinal tract responsible for?
Balance reflexes
What tract is responsible for muscle tone synergy?
Rubrospinal
Erb Duchenne’s and facioscapulohumeral are types of what neurological disease?
Muscular dystrophy
What are the characteristics of Erb Duchenne’s?
Young boys Sex(gender)linked Difficulty walking (waddling) Albuminuria/Creatinuria Gower's sign; fatal by 20yrs
What are the characteristics of facioscapulohumeral?
Adult (slow onset)
Winging scapula
Foot drop
Characteristics of Parkinson’s?
Resting tremor Blank stare Oily Dependent arms Festinating gait
What area is affected in Parkinson’s?
Basal ganglia
Pain and temperature sensation loss in a “shawl like” distribution is indicative of what neurological disease?
Syringomyelia
What is syringomyelia?
A fluid filled cavitation that expands and puts pressure on the lateral spinothalamic tract (most often)
-usually in the cervical spine
what is a non-progressive motor disorder that occurs at birth due to anoxia (complete loss of oxygen)?
cerebral palsy
what are some signs of cerebral palsy?
Athetoid and Choreiform movements
Scissors Gait
what the fuck are Athetoid movements?
slow, involuntary, convoluted, writhing movements of the fingers, hands, toes, and feet and in some cases, arms, legs, neck and tongue
what in the hell are Choreiform movements?
Chorea is characterized by brief, semi-directed, irregular movements that are not repetitive or rhythmic, but appear to flow from one muscle to the next.
