Upper Limb Neuro exam Flashcards

1
Q

Introduction

A
Clean hands
Introduction
Check name and DOB/age
Explanation and gain consent
In any pain?
Observation, Tone, Power, Coordination, Reflexes, Sensation
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2
Q

Observation

A
SWIFT and Deformity
Sacrs
Wasting
Involuntary movements
Fasciculations
Tremor
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3
Q

Assess Tone

A

Passive movement of limbs
Shoulder abduction
Elbow flexion/extension
Wrist flexion/extension

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4
Q

Assess Power

A
Shoulder abduction
Elbow flexion/extension
Wrist flexion/extension
Finger flexion/extension
Hand muscles spread fingers apart
Pronator drift (outstretched arm for tremor)
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5
Q

Assess Coordination

A

Finger nose test

Dysdiadochokinesis

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6
Q

Reflexes

A

Bicep
Supinator
Tricep

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7
Q

Sensation

A

Light touch and pin prick - thumb, middle, little finger, medial/lateral arm and forearm
Vibration - DIP joint
Proprioception - up or down

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