Neuropathies Flashcards

1
Q

patient presenting with difficulty picking up foot, circumduction of foot, recurrent falls

A

Common peroneal nerve palsy

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2
Q

why is the CPN susceptible to compression

A

the nerve winds round the fibular head superficially

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3
Q

management of foot drop?

A
  • foot drop splint
  • electrical nerve stimulation
  • ankle foot orthosis
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4
Q

what is an electrical nerve stimulation

A

2 self adhesive patched placed on the skin 1) on the muscle being stimulated and 2) on the nerve supplying the muscle

The simulator is triggered by a sensor in a shoe that is activated every time you heel leaves the floor as you walk

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5
Q

ankle foot orthosis

A

worn on the lower leg, holding your foot and ankle in a straightened position to improve walking

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6
Q

cause of radial nerve palsy

A

compression of the radial nerve against the mid shaft of the humerus

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7
Q

positional cause of radial nerve palsy

A

arm draped over the back of a chair for several hours

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8
Q

management of radial nerve palsy

A

wrist drop splint

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9
Q

sensation loss in radial nerve palsy

A

anatomical snuffbox

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10
Q

motor loss in radial nerve palsy

A

extension of: wrist, fingers, thumb

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11
Q

reflex loss in radial nerve palsy

A

brachioradialis reflex

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12
Q

cause of carpal tunnel syndrome?

A

compression of the median nerve in the carpal tunnel

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13
Q

exacerbating + relieving factors for carpal tunnel syndrome

A

exacerbation: at night,
relief: shaking his hand

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14
Q

wasting of ___ in carpal tunnel syndrome

A

thenar eminence

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15
Q

weakness of ___ in carpal tunnel syndrome

A

thumb abduction

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16
Q

pain/pins + needles in carpal tunnel syndrome are where ?

A

thumb, index + middle finger

17
Q

4 causes of carpal tunnel syndrome

A
  • pregnancy
  • RA
  • HF
  • idiopathic
18
Q

management of carpal tunnel syndrome (3)

A
  • corticosteroid injection
  • wrist splints at night
  • surgical decompression of flexor retinaculum