Preceptorials: Sensory, Meninges, Autonomics Flashcards
Dermatomal Distribution
C1
NONE!!!
Dermatomal Distribution
Hood
C2
Dermatomal Distribution
Nape
C3
Dermatomal Distribution
Shoulders
C4
Dermatomal Distribution
Thumb
C6
Dermatomal Distribution
Middle finger
C7
Dermatomal Distribution
Little finger
C8
Dermatomal Distribution
Nipple level
T4
Dermatomal Distribution
Umbilicus
T10
Dermatomal Distribution
Groin
L1
Dermatomal Distribution
Big Toe
L5
Large toe
Dermatomal Distribution
Small Toe
S1
(+) for nuchal rigidity
Resist cervical flexion
Horner’s Syndrome TRIAD
Ptosis
Miosis
Anhydrosis
Lateral Spinothalamic Tract
Pain and Temperature
- Dorsal Root Ganglion
- Substancia Gelatinosa
- VPLN of Thalamus
- Posterior Limb of Internal Capsule and Corona Radiata
- Primary Somatosensory Area (3,1,2)
Decussation: 1 spinal segment
Anterior Spinothalamic Tract
Light Touch and Pressure
- Dorsal Root Ganglion
- Substancia Gelatinosa
- VPLN of Thalamus
- Posterior Limb of Internal Capsule and Corona Radiata
- Primary Somatosensory Area (3,1,2)
Decussation: 2-3 spinal segments
Dorsal Column Medial Lemniscus
Discrimination Touch and Vibration
- Dorsal Root Ganglion
- Cuneate and Gracile Nuclei of Medulla Oblongata
- VPLN of Thalamus
- Posterior Limb of Internal Capsule and Corona Radiata
- Primary Somatosensory Area (3,1,2)
Receptor for Light Touch
free nerve endings
Receptor for pain
free nerve endings
Receptor for temperature
Hot- Rufini’s
Cold- Krausse end bulbs
Receptor for vibration
Pacinian corpuscle
Painful even if stimulus is not painful
Allodynia
Esthesia
Touch or feeling
Therm
Heat
Algesia
Pain
Uncomfortable sensations of numbness, tingling, pins and needles or burning pin
Parasthesia - accompany normal external stimulus to the skin
Dysesthesia - spontaneous occurence without any obvious external stimulus
Extreme overresponse to pain
Hyperpathia
Multiple, very severe, electric-shock like pains
Neuralgia
Unbearable,burning, relentless hyperesthesia and hyperalgesia that ensue after injury to a peripheral nerve
Causalgia
T or F:
S/S of PNS lesions will be expressed in the anatomic distribution of roots, nerve trunks, plexuses or peripheral nerves
TRUE
Yes or no responses from the patient
Forced-choice testing
Most sensitive area for temperature discrimination
Forehead
T or F:
Do normal subjects sway MINIMALLY with eyes closed but not fall?
TRUE
Form knowing by presenting objects of different shapes for recognition
Stereognosis
Object recognition through touch
Stereognosis