NMS 4 Flashcards
gallbaldder pain referral
right shoulder, inferior medial scapula
paneas pain referral
spine at T10 level (epigastic)
heart pain referral
left shoulder and medial left arm, squeezing pain
intestines pain referral
periumbilical
appendix pain referral
epigastric- early
RLQ- late
kidney referred pain
flank
ureter referred pain
groin
bladder referred pain
suprapubic area
stomach referred pain
knawing
abdomen referred pain
tearing (dissecting aneurysm)
myofasical pain
trigger point
jump sign
sclerotogenous pain
poorly localized, dull, ache
bonce cancer pain
constant, deep, boring, nocturnal
progressive, unremitting
circulation pain
throbbing, pulsating
nerve pain
shooting, radiating, burning, causalgia (severe burning)
muscle pain
cramping, spasm, aching, dull
referred pain
pain along scleroderm of origination involving more tan one kind of tissue (shared pathway)
radicular pain
pain along teh course of a dermatome due to irritation of a nerve root
sclerotogenous pain
pain that areises from structures derived from embryological sclerotomes (joint pain, bone on bone)
myotogenous
pain that originates within a muscle
dermatogenous
pain along the sensory distribution of a NR
dermatomes
normal fingidngs includes ability for patient to distinguish between sharp and dull sensations with their eyes closed
abnormalities include anesthesia, hypoesthesia, and hyperesthesia
medial plantar nerve motor muscle sensory disorder
toe flexion
toe flexor muscles
NA
tarsal tunnel syndrome
peroneal/fibuar motor
muscle
sensory
disorder
foot dorsiflexion, inversion, eversion
tibialis anterior, toe extensors, peroneals
anterior leg and dorsum of foot
fibular head fracture
sciatic motor muscle sensory disorder
flexion of knee
hamstrings
ant/post leg, sole/dorsum of foot
piriformis syndrome
femoral nerve motor muscle sensory disorder
hip flexion, knee extension
iliopsoas, quadricepts
anteromedial thigh/leg
impingement
obturator motor muscle sensory disorder
hip adduction
hip adductor ms
medial thigh
impingement
saphenous motor muscle sensory disorder
NA
NA
anteromedial knee, medial leg
NA
lateral femoral cutaneous motor muscle sensory disorder
NA
NA
lateral thigh
meralgia paresthesia
long thoracic motor muscle sensory disorder
protraction of scapula
serratus anterior
NA
winged scapula
dorsal scapular motor muscle sensory disorder
elevation and retraction of scapula
rhomboids and levator scapula
NA
flaring of scapula
ulnar motor muscle sensory disorder
abduction of 5th digit and adduction of thumb
finger ab/add and thumb add
distal ulnar hand, 5th digit, medial 1/2 of 4th digit
claw hand
median motor muscle sensory disorder
thumb pinch, opposition of thumb
wrist and thumb flexors. thumb abductors, thenar
distal radial hand, 2nd digit
carpal tunnel, pronator teres, ape hand
musculocutaneous motor muscle sensory disorder
elbow flexion
biceps, brachioradialis, coracobrachialis
lateral forearm
impingement
radial motor muscle sensory disorder
wrist/finger extnesion, thumb abduction
wrist/finger extensors, triceps
dorsal web between thumb and index
wrist drop, crutch palsy, erb’s palsy
axillary motor muscle sensory disorder
arm abduction
deltoid and teres minor
lateral arm
glenohumeral dislocation
S2-4 motor muscle sensory disorder
anal wink
levator ani/coccygeus
perianal
cauda equina syndrome
S1 motor muscle sensory disorder
eversion, plantar flexion, hip extension
peroneus longus/brevis, glute max
lateral aspect of foot and plantar surface of foot
NA
L5 motor muscle sensory disorder
toe extension, heel walk, hip abduction
extensor digitorum, extensor hallucis lonngus, glute med and min
lateral aspect of leg across dorsum of foot to big toe
foot drop
L4 motor muscle sensory disorder
inversion and dorsiflexion
tibialis anterior
medial aspect of leg and foot
foot drop
L2-4 motor muscle sensory disorder
hip flexion and adduction, knee extension
quads, adductors
NA
NA
L1-3 motor muscle sensory disorder
hip flexion
iliopsoas
intuinal lig, oblique below L1, oblique across knee
meralgia paresthesia
T5-12' motor muscle sensory disorder
trunk flexion
rectus abdominus
T5-12
NA
T1 motor muscle sensory disorder
finger abduction, finger adduction
dosal interossei, palmer interossei
medial elbow
NA
C8 motor muscle sensory disorder
finger flexion
flexor digitorum superificalis/profundus, lumbricals
medial forearm/digits 4-5
klumpke’s paralysis
C7 motor muscle sensory disorder
wrist flexion, finger extension
flexor carpi ulnaris/radialis, triceps
3rd digit
wrist drop
C6 motor muscle sensory disorder
wrist extension
extensor carpi ulnaris/radialis, brachialis
lateral forearm/digits 1-2
erb’s palsy
C5 motor muscle sensory disorder
arm abudction, forearm flexion
middle deltoid, biceps brachii
lateral arm
erb’s palsy
chaddock’s wrist
examiner strokes the distal ulnar side of the forearm near the wirst
lfexion of wrist with extension and fanning of fingers
gordon’s finger
examiner strokes the pisiform of the patient
felxion of wrist and fingers or thumb and index finger
tromner
examiner sharply taps the tips of the middle 3 fingers
flexion and adduction of the thumb and flexion of fibners
hoffman
exmainer extends middle phalynx and flicks distal phalynx inferior
flexion and adduction of thumb and flexion of fingers
rossolimo
tap the ball of the foot
plantar flexion of great toe with curling of the other toes
schaefer
squeeze achilles tendon
babinski like response
gordon’s calf
squeeze the calf below the knee
babinski like response
oppenheim
stroke down the tibial crest to teh ankle
babinski like response
chaddock
stroke lateral malleolus to 5th toe
babinski like response
babinski
stroke up lateral aspect of foot to great toe
dorsiflexion of great toe with splaying of other toes
absecne of visceral organic reflexes indicates?
UMNL, LMNL
ciliospinal
procedure
afferent
efferent
pinch neck while noting dilation of eyes
sensory from neck
cervical sympathetics
oculocardiac
procedure
afferent
efferent
press on eye note slowing of the heart by 10bpm
CN V
CN X
carotid sinus
procedure
afferent
efferent
press on carotid sinus note slowing of heart and decreased pressure
C IX
CN X
