x. Dermatomes, Edema, Pulses, Reflexes, Strength Flashcards
edema: absent
0/4
edema: barely detectable, slight pitting (2mm) disappears rapidly
1+/4
edema: slight indentation (4mm); 10-15 sec
2+/4
edema: deeper indentation (6mm); > 1 min
3+/4
edema: very marked indentation (8mm); 2- 5min
4+/4
areas to assess for edema
- dorsum of foot
- anterior tibia
- behind medial malleolus
pulses: bounding
4+/4
pulses: strong, full, increased
3+/4
pulses: average intensity, expected, normal
2+/4
pulses: diminished, barely palpable
1+/4
pulses: absent, not palpable
0/4
strength: no muscular contraction
0/5
strength: barely detectable flicker/trace of contraction
1+/5
strength: active movement with gravity eliminated
2+/5
strength: active movement against gravity
3+/5
strength: active movement against gravity and some resistance
4+/5
strength: active movement against full resistance without evidence of fatigue (normal muscle strength)
5+/5
reflexes: no response
0/4
reflexes: somewhat diminished, low normal
1/4
reflexes: average, normal
2/4
reflexes: brisker than average, possibly but not necessarily indicative of disease
3/4
reflexes: very brisk, hyperactive, with clonus (rhythmic oscillation b/w flexion and extension)
4/4
evaluation of motor system
- body position & gait
- involuntary movement (tremors, tics, fasciculations)
- muscle bulk (wasting, atrophy)
- muscle tone (resistance to stretch)
muscle/muscle group: shoulder shrug
trapezius (CN XI)
