periph neuropathies

Question 1

• caused by trauma, obesity, fluid retention (preg), hypothyroidism, RA
• numbness/tingling in first 3 digits
• thenar atrophy, nocturnal pain (ape hand)

Answer 1

carpal tunnel syndrome

Question 2

tests for carpal tunnel

Answer 2

tinel’s
phalen’s
gring strength with dynamometer

Question 3

carpal tunnel tx

Answer 3

adjust, cock up splint, B6

Question 4

• pain/parasthesia on volar forearm, lat palm, lat digits
• anterior interosseous nerve
• cause by hypertonicity of muscle by occupation
• pn w/ pronation, wrist flx, thenar atrophy

Answer 4

pronator teres syndrome

Question 5

test for pronator teres syndrome

Answer 5

• pinch grip test

- patient presents that they cant pick up coins from the table

Question 6

tx for pronator teres syndrome

Answer 6

TrP therapy, spray and stretch

Question 7

• tunnel of guyon, cubital tunnel caused by direct trauma, rep microtrauma
• pn/ting, numb in last 2 digits, weakness of adductor pollicis (claw hand), hypothenar atrophy

Answer 7

ulnar nerve entrapement

Question 8

palsy for lower brachial plexus (C8-T1) from childbirth, creates a claw hand deformity with wrist flexion

Answer 8

klumpke’s paralysis

Question 9

-wrist drop, erb’s palsy, saturday night palsy, crutch palsy via the spiral groove caused by trauma, lead poisoning, pressure from crutches

Answer 9

radial nerve entrapment

Question 10

presentation of radial nerve entrapment

Answer 10

loss of tricep reflex

decreased sens to post arm, forearm, posterolateral 3.5 fingers

Question 11

pain from pelvis to floor caused by trauma, traction, wallet pressure, piriformis, muscle spasm
-sens pn in post butt, thigh, weak knee flx, dec achilles reflex

Answer 11

sciatica

Question 12

ddx for sciatica

Answer 12

facet (but facet doesnt go to the floor)

Question 13

-bt metatarsal 3/4 caused by rep microtrauma, narrow toed shoes, RA, foot deform that presents with painin toes and dorsum of foot and may require surgery

Answer 13

morton’s neuroma )intermetatarsal)

Question 14

-deep peroneal nerve that can affect of the four muscles: tib ant, EHL, EDL, peroneus tertius, s/sx similar to charcot marie tooth

Answer 14

anterior compartment syndrome

Question 15

fingertip is curled and cant straighten, results from injury

Answer 15

mallet finger

Question 16

hyperflx of DIP and hyperext of PIP, in RA

Answer 16

swan neck deform

Question 17

hyperext of DIP and hyperflx of PIP, RA

Answer 17

boutonniere deform

Question 18

abnorm thickening under skin of palm and fingers, causes last 2 fingers to curl into palm, later middle finger may be involved

Answer 18

dupuytren’s contracture

Question 19

finger locked in flx, tendon becomes inflamed and swollen, person must force the swollen area into a sheath producing a pop/snap to straighten it

Answer 19

trigger finger

Question 20

inflam of EPB, APL tendons on thes ide of wrist at base of thumb, from strain, tx with brace, finkelstein

Answer 20

dequrvain tenosynovitis