Basics Flashcards
(24 cards)
What is in a neurology systems review?
Headaches Altered vision Fits/faints Hearing issues Speech and swallowing Weakness/numbness Balance/coordination Bowel/bladder/ED
What is the swinging light test used to test for?
RAPD - damage to optic nerve of affected eye
How is saccades performed and what does it test for?
Look between palm and fist
Slow/restricted in PSP
What is the difference between Bell’s palsy and a stroke affecting the face?
Bell’s palsy = LMN, complete facial paralysis
Stroke = UMN, forehead sparing
What is the significance of a deviated uvula?
Deviates away from the site of the lesion
What is the difference between rigidity and spasticity?
Spasticity is velocity dependent - pyramidal lesion
Rigidity - extrapyramidal lesion
What myotome is shoulder abduction?
C5
What myotome is elbow flexion?
C5/6
What myotome is elbow extension?
C7
Radial nerve
What myotome is wrist extension?
C6
Radial nerve
What myotome is finger extension?
C7
Posterior interosseous
What myotome is finger flexion?
C8
What myotome is finger abduction?
T1
Ulnar nerve
What myotome is thumb abduction?
T1
Median nerve
What myotome is hip flexion?
L1/2
What myotome is hip extension?
L5/S1
What myotome is knee flexion?
S1
Sciatic nerve
What myotome is knee extension?
L3/4
Femoral nerve
What myotome is dorsiflexion?
L4
Deep peroneal
What myotome is big toe dorsiflexion?
L5
What myotome is plantar flexion?
S1
What should be analysed in gait?
Stride length, symmetry, ease of turning
Where do motor pathways cross?
Medulla
What happens in Brown-Sequard syndrome?
Hemisection of spinal cord
BELOW LESION:
Ipsilateral - UMN weakness, loss of vibration, proprioception and fine touch
Contralateral - loss of pain and temperature
