Signs you don't know Flashcards
patient flexes his or her hips and knees in response to neck flexion.
Brudzinski sign: Meningitis
positive when the knee cannot be fully extended when the patient is lying supine with the hip flexed.
Kernig sign: Meningitis
Chronic neck pain w/ cape-like distribution of loss of pain and temperature sensation in the upper extremities with preservation of light touch and proprioception.
syringomyelia
bilateral motor paresis and sensory impairment.
central cord syndrome
loss of motor function below the lesion and preservation of position, touch and vibration sensation
Anterior cord syndrome
ipsilateral motor function loss and contralateral pain and temperature sensation loss.
Brown-Séquard syndrome
Positive ice bag test
myasthenia gravis - improves Sx
Positive edrophonium test
myasthenia gravis - improves Sx
The patient is asked to hold a piece of paper between the thumb and index finger in a pinching grasp. The examiner then tries to pull the paper out from the patient’s grasp. The test is positive if the patient must compensate by flexing the flexor pollicis longus of the thumb to keep the object in place.
Froment’s sign -tests for ulnar nerve palsy.
electric shock-like sensation down the spine with flexing the neck
Lhermitte sign - Multiple sclerosis
Optic neuritis and a band like sensation around the trunk or a limb
Multiple sclerosis
Prevalence increases with further distance from the equator.
Multiple sclerosis
requires the patient to rotate and extend the neck to one side while the clinician gently applies an axial load to the neck. Nerve root compression is likely when this test produces cervical radiculopathy.
Spurling test
prolonged lymphopenia
West Nile encephalitis
Elevated protein with only a mild pleocytosis on cerebrospinal fluid analysis (termed albuminocytologic dissociation)
Guillain-Barré syndrome
