NMS Flashcards
can’t heel walk
L5 problem (L4 IVD)
cant toe walk
S1 problem (L5 IVD)
corneal reflex
afferent=CN5
efferent=CN7
oculocardiac reflex
afferent=CN5
efferent=CN10
general sensation to ant 2/3rds tongue
CN5 trigeminal
taste ant 2/3 tongue
CN7 facial
meniere’s= CN
8-vestibulocochlear
gag uvula pharnygeal and carotid reflex
afferent=CN9 glossopharyngeal
efferent=CN10 vagus
epiglottis and laryngeal muscles of swallowing
CN10 vagus
absence of DTR
westphal’s sign
normal DTR measurement
+2 wexler scale
jaw jerk
tirgeminal CN5
med. hamstring DTR
sciatic nerve, L5
achilles DTR
tibial nerve, S1
cremasteric and geigel’s reflex
afferent=femoral nerve
efferent=genitofemoral nerve
fasciculation on LMNL
present
fasciculation on UMNL
absent
stroke lateral malleolus to 5th toe
chaddock
stroke down tibial crest to ankle
oppenheim
squeeze achillis
schaefer
tap ball of foot
rosolimo
complete muscle ROM against gravity w/ full res
5
complete ROM against gravity
3
erb’s palsy
c5-6 NR
finger ab and adduction
T1 NR
finger flexion
C8 NR
eversion plantar flexion and hip extension
S1 NR
wrist drop, crutch palsy, erbs palsy
radial nerve
carpal tunnel, pronator teres, ape hand
median nerve
claw hand
ulnar nerve
flaring of scapula
dorsal scapular nerve
winged scapula
long thoracic nerve
meralgia parethetica
lateral femoral cutaneous nerve
fibular head fx
peroneal nerve
tarsal tunnel syndrome
medial plantar nerve
numbness/tingling in 1st 3 digits. thenar atrophy weak oppenens pollicis
median nerve->carpal tunnel
pronator teres syndrome=what nerve
anterior interosseous
pain on volar forearm, lateral palm, lateral digits
pronator teres syndrome
klumpke’s paralysis
c8-T1
saturday night, erbs,crutch palsy
radial nerve
morton’s neuroma
bt 3rd and 4th metatarsal
foot drop
common peroneal nerve
abnormal thickening under skin of palm and fingers
dupuytren’s contracture
two point discrim, vibration, joint pos, MS, tabes dorsalis, leprosy
Post. columns
voluntary motor, flexors of hands and feet
corticospinal(pyramidal)
pain and temp. syringomyelia
lateral spinothalamic
crude light touch
anterior spinothalamic
balances reflexes and postural muscles. benign positional vertigo and labyrithitis
vestibulospinal
muscle tone to proximal flexors of extremities
rubrospinal
muscle tone to voluntary extensor muscles
reticulospinal
cross at medullary pyramids and travel to flexors of extremities
lateral corticospinal
cross at segmental level and then flexors to trunk UMNL
ventral corticospinal
loss of pain and temp, cape like distribution
syringomyelia
+lhermitte’s test, charcot’s triad
MS, (SIN)
autoimmune, attacks Acetylcholine
myasthenia gravis
tensilon test
myasthenia gravis
LMNL in arms UMNL in legs
ALS
affects corticospinal tract and ant. horn
ALS
glove and stocking parethesia
PLS/combined systems
result of B12 deficiency(pernicious anemia)
PLS/combined systems
hemisection of spinal cord, ipsilateral loss of motor function and dorsal columns(proprio), contralateral loss of pain and temp
brown sequard
loss of dopamine in substantia nigra affecting basal ganglia
parkinsons
inflammatory polyneuropathy of PNS, immuninization
guillain barre
tertiary syphillis, slappage gait
tabes dorsallis
weak foot and lower leg, foot drop, high stepped gait, peroneal muscle atrophy
charcot marie tooth
stance phase
60%
swing phase
40%
propulsion/festinating/shuffling gait
parkinsons
scissor gait
CP
steppage gait
anterior compartment syndrome
trendelenburg gait
weak glut med, pelvic tilt on affected side
slappage/sensory ataxia gait
posterior column disease
circumduction/hemiplegic gait
stroke
spastic gait
UMNL
drunken/motor ataxic gait
cerebellum
supraspinatus infraspinatus teres minor subscapularis INNVERVATION
suprascapular
suprascapular
axillary
subscapular
supraspinatus infraspinatus teres minor subscapularis ACTIONS
supraspinatus-abduction
infraspinatus-ex rot
teres minor-ex rot
subscapularis-int rot