Limb Weakness

Question 1

Notes

Answer 1

Paresis is weakness. Plegia is paralysis.

Question 2

Para/quadraparesis

Answer 2

Either spastic (UMN) or flaccid (LMN)

Flaccid paraparesis in absence of sensory signs indicates GBS, CIDP, MND

Question 3

Wasted hand

Answer 3

Ulnar clawing
Wrist drop

Wasted thenar eminence is likely median nerve
Wasted dorsal interosseous (especially 1st) and hypothenar eminence

Wasted shoulder and scapula winging in brachial plexopathy

Syringomyelia

C8/T1 radiculopthy - check for lymphadenopathy and horners syndrome (pancoasts tumour)