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Flashcards in Neuro Deck (52)
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1

Acronym for when enter room

WIIPPER

2

What does wiipper stand for

Wash hands
Introduce self
Identity of patient
Permission
Pain?
Exposure
Reposition

3

When carrying out neuro upper limb examination what do you look for with inspection

Scars
Wasting
Fasiculations

4

Order of stages to motor limbs examinations

Tone
Power
Reflexes
Coordination

5

How to check for upper limb tone

Grab hand like shaking it and hold under elbow with other hand. Then make sure to check tone of shoulder, elbow and wrist

6

How to examine shoulder tone

Lift whole arm up in air

7

How to examine elbow tone

Rotate lower arm around

8

How to examine wrist tone

Extend and flex the wrist

9

Pathology of hypertonia in limbs

Upper motor neurone problem

10

Pathology of hypotonia in limbs

Lower motor neurone problem

11

How to check for power in shoulders

Hold arms like chickens and get to abduct and adduct against the arms

12

How to check for power in elbows

Hold arms up like a boxer and get to extend and flex against resistance

13

How to assess power in wrists

Patient makes fist and get them to flex and extend against yours

14

How to assess for power in fingers

Hold fingers out and get them to extend and flex against yours

15

How to assess for power of thumb

Patient holds palm out with thumb up and they abduct against the resistance of your thumb pushing against it

16

How to assess for abductive power of fingers

ONLY USE INDEX FINGER AND LITTLE ONE
Use the same finger as theyre using to push against them abducting

17

Myotome for shoulder abduction

C5

18

Myotome for elbow flexion

C567

19

Myotome for elbow extension

C78

20

Which upper limb reflexes do you test for

Biceps
Triceps
Brachialis

21

How to carry out bicep reflex test

Hands in lap, hold middle and index finger over biceps tendon

22

How to carry out tricep reflex test

Hand across lap, try not to hit against hand

23

How to carry out brachialis test

Hand on leg pronated, imagine wearing large watch and then hold two fingers at proximal end of watch

24

How to test coordination of upper limbs

Get to touch finger, touch nose and repeat rapidly

Dysdiachokinesia test

25

Order of sensory test for upper limb

Light touch
Pain
Vibration
Proprioception

26

How to test for light touch upper limb

First use reference point on chest
Sit with hands in lap eyes closed
Use end of cotton wool to touch at various points on arm moving up the arm proximally- remember both arms

27

Which parts of arm do you test for with light touch and pain

Little finger
Middle finger
Thumb
Snuff box
Lateral and medial lower arm
Lateral and medial upper arm
Shoulder

28

How to do pain test

First use reference point on chest using both blunt and sharp end
Sit with hands in lap eyes closed
Use sharp end or blunt to press on various points on arm

29

How to vibration test

Bang tuning fork against surface and test against chest for reference
Sit with hands in lap eyes closed
Press tuning fork against bony prominence on thumb and ask if can feel vibration and then when it stops
Stop when get positive result

30

How to do proprioception test

Close eyes grab distal interphalangeal joint and lift up and down, asking patient what the joint position is
Move proximally if fail DIP