Upper limb neuro - Music soc osce Flashcards
Mnemonic for upper limb exam
In the pouring rain she comes
Inspection Tone Power Reflexes Sensation Coordination
What is an essential tremor?
An action tremor on movement, even without a goal e.g. a tremor that’s always there
What is an intention tremor?
This is also on intention, but it is goal orientated
Another word for intention tremor
Dysmetria
What causes dysmetria?
Cerebellar disorders
What might cause pronator drift?
A weakness in your supinators
What does a median/ulnar nerve palsy cause?
Benedict’s pose
What do you call the palsy where someone has a waiter’s tip position?
Erb’s palsy (C5/6 palsy)
What would cause wrist drop?
Radial nerve injury
Acronym for nerves of arm
MARMU
Musculoskeletal Axillary Radial Median Ulnar
Spasticity vs rigidity
Rigidity - is on movement
Spasticity - at rest
What is clasp knife rigidity?
Like a pt is holding a knife, and as you try to
List three types of rigidity
Clasp knife
Lead pipe - parkinsons
Cog wheel - parkinsons
MRC power grading
No contraction
Flicker of contraction
Active movement with gravity eliminated
Active movement with gravity
Active movement against gravity and resistance
Normal power
What is the presentation of diabetic neuropathy?
GLOVE AND STOCKING
