Random NBS 2 Flashcards
Westphal sign
Absent DTR
AKA cortical distraction - squeeze hands or knees
Jendrasik Maneuver
Corneal reflex
5 sensory, 7 motor
Pharyngeal reflex
9 sensory, 10 motor
Cremasteric reflex (Geigel in women)
Femoral sensory, genitofemoral motor
L1-L2
Abdominal reflex
T7-T12 nerve roots
Ciliospinal
Squeeze neck and eyes dilate
Oculocardiac
5 sensory, 10 motor
Hearts slows down when eye touched
Carotid sinus
9 sensory, 10 motor
Sympathetic CN
3,7,9,10
Indirect light, direct light, accomodation
2 Sensory, 3 motor
T4 dermatome
Nipple
T7 dermatome
Xiphoid
T10 dermatome
Umbilicus
L1 dermatome
Inguinal ligament
Oblique upper thigh dermatome
L1
Oblique Middle thigh dermatome
L2
Knee dermatome
L3
Posterior thigh dermatome
S2
Bulls eye dermatome
S2-S4
Medial leg dermatome
L4
Dorsum of foot and lateral leg dermatome
L5
Ball of foot, lateral foot, posterior leg
S1
L4 NR, L3 disc, L4 IVF myotome
Tibialis anterior
Heel walk - foot drop
L4 NR, L3 disc, L4 IVF DTR
Patella
L5 NR Myotome
Gluteus medius - hip abduction
Extensor hallucis longus
Heel walk
L5 NR DTR
Posterior tibial
Medial Hamstring
S1 NR Myotome
Peroneus longus and brevis
Gluteus maximus - hip extension
Gastroc and soleus
S1 NR DTR
Achilles
Chaddock
Stroke lateral malleolus
Oppenheim
Stroke down anterior tibia
Gordons
Squeeze Calf
Schaeffer
Squeeze achilles
Hoffman
FLick phalanx down
MC in men, UNILATERAL, last 1-2 hours or seasonal, rhinorrhea, tearing, several per day, PIERCING, 2 hours after sleep and alcohol
Cluster headache
Band like, temporal, or occipital location. Afternoon or when stressed. Quality is achy or spasm
Tension HA
Older patient, general location, MORNING, throbbing quality
HTN HA
Anyone, general location, MORNING, throbbing and achy quality, serum studies (metabolic panel)
Metabolic HA
Location is above eye or cheek, Repetitive pattern, FEVER, quality is achy, discharge. Position may exacerbate
Sinusitis
Older than 50, unilateral/ temporal location, Gradual persistent, throbbing and achy quality. FEVER
Temporal Arteritis
Constant HA, FEVER, decrease flexion, rigid, sensitive to light. Brudzinski, Kernigs, CSF culture
Meningitis
ER!!
Younger population, progressive steady timing, personality change, worst HA in my life
Subarachnoid hemorrhage
ER!!
Subarachnoid hemorrhage test
CT/ Angiography
MRA
Older population, progressive steady timing, personality change and weakness
Subdural hemorrhage
ER!!
Subdural Hemorrhage test
CAT scan
Older male or alcoholic, site is cheek, jaw, lips, gums; last for 15-45 seconds which is sharp short and severe. Triggered by cold, chewing.
Trigeminal Neuralgia
Anyone, location is ear and throat for 15-45 seconds which is sharp short and severe
Glossopharyngeal Neuralgia
Thumb extension nerve - wrist drop
Radial N
Thumb Adduction and fingers adduction abduction nerve
Ulnar N
Thumb flexion nerve
Median N
Tennis elbow
Lateral epicondylitis - wrist extensor brevis
Little leaguer/ Golfer’s elbow
Medial epicondylitis - wrist flexor
Main muscle in the knee
Vastus medialis
Knee Terrible Triad
Medial Meniscus
Medial collateral ligament
Anterior collateral ligament
Sag sign associated with
Posterior collateral ligament injury
Inversion sprain of the ankle (invert + plantar flex) affect which ligament
anterior talofibular
Pain in calves, tenderness, mild swelling
Shin spint (minor compartment syndrome) - due to lack of O2
Swollen, shiny calf, paresthesia, weakness, decrease pulse, can’t grip toes, EMERGENCY
compartment syndrome
Achilles tension leads to heel spurs
Plantar fascitis
Burning pain, 2nd-4th metatarsal, pain refers to dorsal surface
Morton’s neuroma
can adjust
Burning pain near the sole and toe
Tarsal tunnel
SOL orthopedics
Nafzinger - occlude jugular vein
Milgrams
Valsalva
Swallowing test
How to do milgrams
Supine, actively raise both legs 6 inches
Bakody’s
Nerve root syndrome
Distraction
Increase pain = sprain/strain
Decrease pain = NR compression
Lhermitte
Cord degeneration
MS
Soto Hall
General exam
Anterior pain = fracture
Posterior pain = ligament damage
Adson
Rotate head towards
Scalenus anticus, cervical rib
Modified Adson
Scalenus medius
Subclavian artery
Edens
Costoclavicular - rib, clavicle
Worst - involves nerve,artery,vein
Wrights
Hyperabduction, pec minor
General TOS tests
Reverse bakody
Allen’s maneuver
Roos
Allen’s test vs Allen’s maneuver
Test - open close occlude - 10 secs/more difference in refill- occlusion
Allen’s maneuver - abduct arm, external rotate, flex elbow rotate head away - decrease pulse?
Shoulder tests
CAADDYS (7) Codman Appley's, Apprehension Duggas, Dawbarn Yergason Speed
Codman’s
Drop arm test
Rotator cuff - supraspinatus tendon
Appley’s
ROM
Apprehension
Abduct and rotate shoulder externally
Chronic dislocation
Dugas
Dislocation
Maneuver to fix anterior shoulder dislocation
Kocher
Milchs - esp
Dawbarn
Palpate joint, passively abduct arm decrease pain
Bursitis
Yergason
Bicipital tendon instability (transverse humeral ligament)
Yergason AKA
Abbot Saunders test
Speed
Tendonitis
Lateral epicondylitis - tennis elbow
Cozen - restricted extension
Mills - stretching extensors, extensor brevis, TFM
Medial epicondylitis - golfers elbow
Reverse Cozen - restricted flexion
Medial collateral ligament
Abduct - valgus stress
Lateral collateral ligament
Adduct - varus stress
Tinnel in elbow
Between olecranon and medial condyle (ulnar)
Median N - thumb flexion
Tinnel
Phalen - upside down praying position
Pinch grip
Ulnar N - thumb adduction
Froment
Finkelstein
Flex thumb and fingers
Dequervain’s - stenosing tenosynovitis
Bunnel Littler’s
Muscle vs joint - check for nodes