Sensory

Question 1

Glove and stocking neuropathy

Answer 1

Ddx: diabetes, Guillian Barre, Lyme, HIV
Tx: gabapentin, aminotryptali etc

Question 2

Shingles

Answer 2

Varicella zoster virus, affects a single dermatome

Question 3

T10 dermatome

Answer 3

Bellybutton

Question 4

T4 dermatome

Answer 4

Nipples

Question 5

C6 dermatome

Answer 5

“6” of first finger and thumb

Question 6

C8 dermatome

Answer 6

Pinkie

Question 7

L5 dermatome

Answer 7

Lateral shin wrapping to big toe
Common radiculopathy from disc herniation
Will also have weakness of hip abductors, ankle inversion, knee flexible

Question 8

Tabes Dorsalis

Answer 8

Syphilis causing demyelination of the dorsal columns

Question 9

Vitamin B12 deficiency

Answer 9

Causes demyelination dorsal column

Question 10

Crossed sensory findings

Answer 10

Localize to brain stem (only pain/temp)

Question 11

Brown-Sequard Syndrome

Answer 11

Hemicord injury
Ipsilateral paralysis
Contralateral pain and temperature loss
Ipsilateral vibration loss

Question 12

Central cord syndrome

Answer 12

Disrupts crossing of spinothalamic tract

Lose pain and temperature at and around dermatome of lesion

Question 13

Lateral medullary/Wallenberg

Answer 13

Ipsilateral face pain and temp
Contralateral body pain and temp
Ipsilateral horners
Dysphagia, hoarseness, gag
Vertigo, diplopia, nystagmus
Ataxia