Upper limb neuro exam Flashcards
What are the broad steps of the upper limb exam?
Prep Hand hygiene Inspect Tone Power Reflexes Coordination Sensory
What movements do we test in power of the upper limb?
**Pronator drift** Shoulder abduction Elbow F & E Wrist F & E Finger F & E Finger ab' & ad' Thumb abduction
What step comes after power?
Reflexes
What step comes after reflexes?
Coordination
What step comes after after coordination?
Sensory
Which reflexes do we test for in the upper limb exam?
Biceps jerk
Brachioradialis jerk
Triceps jerk
Finger jerk
How long are you supposed to test pronator drift for?
1 minute
What instruction will you give for shoulder abduction?
Demonstrate the shape (chicken wings) “try to keep your arms there”
What instruction will you give for elbow flexion?
Try to bring your fist over to your elbow
What instruction will you give for elbow extension?
Now try to straighten your arm
Where do we prick for C4?
Over the acromioclavicular joint
Where do we prick for C5?
On the lateral side of the antecubital fossa, just proximal to the elbow
