where in the pns Flashcards
PNS pathway
roots
plexus
nerves
NMJ
muscle
(lesion in NMJ and muscle is not complete, only partial weakness - reflexes remain normal)
NMJ lesion
proximal weakness*: cause proximal muscles exert more force - affected the most (cause weakness in climbing stairs) wasting/ pseudohypertrophy no sensory symptoms
muscle lesion
no wasting nor fasciculations
proximal: movements about shoulder/hip will be affected, ankle/wrist ok
nerves lesion
long nerves more vulnerable
distal glove and stocking distribution* of weakness/numbness + senosry loss
causes of neuropathies
diabetes
B12 deficiency
Guillain Barre syndrome
mononeuropathies
damage to single nerve: median/radial/ulnar; sciatic/femoral
M1 revision: median nerve
LOAF muscles: lumbricals, opponens pollicis, abductor pollicis brevis, flexor pollicis brevis
sensory to 1st 3.5 digits
carpal tunnel syndrome
M1 revision: radial nerve
extensors (wrist drop) + brachoradialis (supination problem)
sensory to anatomical snuffbox
saturday night palsy - lying on stretched hand to sleep
M1 revision: ulnar nerve
hypothenar muscles
sensory to last 1.5 digits
cubital tunnel/ FOOSH
M1 revision: sciatic nerve
hamstrings adductors forms tibial (plantarflexion) and common fibular nerve (dorsiflexion) sensory for tibial and cfn also caused by intra-pelvic compression
foot drop - cause of affected dorsiflexion
weak plantarflexion
weak hip flexion