numbness Flashcards

1
Q

Pins and needles, no pain, appears even with (-) stimulus

A

paresthesia

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2
Q

Cover all types of abnormal sensation including

painful ones, (+/-) stimulus.

A

dysesthesia

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3
Q

pain in response to touch

A

hyperesthesia

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4
Q

reduction of cutaneous sensation

A

hypesthesia

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5
Q

Reduced pain perception (usually seen in poorly

controlled diabetic patients)

A

hypalgesia

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6
Q

Encompasses all (Allodynia, Hyperesthesia,
Hyperalgesia)
o Delayed perception with increased threshold of
pain

A

Hyperpathia

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7
Q

patient sways markedly or topples when asked to stand with feet close together and eyes closed

A

+ romberg sign

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8
Q

pain and temperature

A

spinothalamic tracts/ anterolateral system

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9
Q

TOUCH, PROPRIOCEPTION and VIBRATION

A

POSTERIOR COLUMN-MEDIAL LEMNISCAL

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10
Q

posterior column

A

ipsilateral— proprioception, vibration

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11
Q

spinothalamic tract

A

contralateral — pain, light touch, temperature

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12
Q

motor supply

A

anterior and lateral corticospinal

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13
Q

small fobers

A

Pain, temperature, Heat and cold

PTHC

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14
Q

Large fibers

A

touch, vibration, position

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15
Q

an area of skin supplied by a single spinal nerve for the modalities of sensation.

A

dermatomes

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16
Q

dermatome plexus

A

lumbosacral plexus

17
Q

dermatomes of the upper limbs

A

brachial plexus

18
Q

dermatomes of the trunk

A

facial, cervical, thoracic

19
Q

PROPRIOCEPTION: ORDER OF TESTING (upperlimb)

A

Distal interphalangeal joint, proximal interphalangeal joint, metacarpophalangeal joint,
wrist, elbow, shoulder

20
Q

proprioception order of testinhg (lowerlimb)

A

Distal interphalangeal joint of the hallux, metatarsophalangeal joint, ankle knee and hip

21
Q

quantitative sensory testing

A

2-point discrimination
touch localization
bilateral simultaneous stimulation tests

22
Q

perception of figures on the skin,
writing a letter/number on the patient’s skin and
the patient will try to identify

A

graphesthesia

23
Q

identifying objects

A

stereognosis

24
Q

balance requires

A

o Vision
o Vestibular sense
o Proprioception

25
Q

Falling with eyes open or closed

A

cerebellar lesion

26
Q

falling only with eyes closed

A

posterior column or vestibular lesion

27
Q

deep aching pain along the course of the related nerve trunk

A

nerve & root: radicular or root lesions

28
Q

simultaneous malfunction of many peripheral nerves throughout the body

A

polyneuropathies

29
Q

enhanced pain but other sensations are diminished

A

polyneuropathies

30
Q

are not dermatomal and usually result in loss of sensation, not pain such as the Thalamic lain syndrome

A

central deficit

31
Q

brown-sequard

A

hemisection of the cord

32
Q

in hemisection of the cord, there is loss of

A

proprioception and vibration

33
Q

The afferent sensory fibers are damaged and

theoretically cut so there will be lost of proprioception, vibration, temperature, pain, and light touch.

A

complete transection

34
Q

harlequin pattern and lateral medullary syndrome

A

brainstem lesion

35
Q

right face affected and left neck

downwards affected.

A

right lesion

36
Q

left face affected and right neck downwards affected.

A

left lesion

37
Q

 Opposite side will be affected. There will be loss of
proprioception, vibration, temperature, pain, and light
touch.
 The feeling is like the flesh is being torn off or being
bathed in acid. It is very painful.

A

thalamic lesion