Neuropathies upper limb

Question 1

what nerve carries the dermatome around the anterior medial arm

Answer 1

medial cutaneous from C8T1

Question 2

what nerve dermatome is the lateral forearm

Answer 2

lateral cutaneous C567

Question 3

what nerve dermatome is the middle posterior arm forearm

Answer 3

C5678

Question 4

what dermatome is the arm/shoulder area

Answer 4

axillary nerve from superior lateral cutaneous C56

Question 5

what nerve dermatome are the anterior digits1-3 and half 4

Answer 5

median nerve C678

Question 6

what nerve dermatome is the anterior and posterior 5th digit and half of 4th

Answer 6

ulnar C8T1

Question 7

what nerve dermatome is the posterior hand and digits 1-3 and half 4

Answer 7

radial C678

Question 8

what is the nerve dermatome of the supraclavicular area

Answer 8

supraclavicular nn C34

Question 9

what is the cutaneous inn of the thumb and index finger

Answer 9

thumb is C6

index is 6 and 7

Question 10

what is the cutaneous inn for palm and middle 3 fingers

Answer 10

C7

Question 11

what is the cutaneous inn for the pinky finger and ring

Answer 11

C8

ring is C7C8

Question 12

What mm does the C5 level inn

Answer 12

deltoid, biceps

Question 13

what is the reflex for the C5 level

Answer 13

biceps

Question 14

what mm does C6 level inn

Answer 14

biceps wrist extensors

Question 15

what reflex is with C6 level

Answer 15

brachioradialis

Question 16

what mm does C7 level inn

Answer 16

wrist flexors and finger extensors

Question 17

what reflex is assoc with C7

Answer 17

triceps

Question 18

what mm does C8 inn

Answer 18

finger flexors

Question 19

what mm does T1 inn

Answer 19

interossei

Question 20

What levels provide SANs to upper limb

Answer 20

T2-6

Question 21

what are the major joints of UL

Answer 21

gelnohumeral, AC
ulnar humeral, radial humeral, ulnar radial
intercarpal joints
MCP, PIP DIP

Question 22

What are the components of UL neuro exam

Answer 22

muscle strength
tone
DTRs
light touch
sharp touch
graphesthesia
stereognosis
proprioception

Question 23

what structures pass through thoracic inlet

Answer 23

brachial plexus, subclavian a and v

Question 24

what boney structures surround brachial plexus

Answer 24

spinal column, first ribs, sternum and clavicle

Question 25

what can cause thoracic outlet syndrome

Answer 25

cervical rib, excessive tension in scalenes, SD of clavicle, upper ribs and upper thoracics, tumor, abnormal insertion pec minor, whiplash, fractured clavicle

Question 26

where can compression occur leading to thoracic outlet

Answer 26

between scalenes, pec minor and rib cage | costoclavicular articulation between clavicle and first rib

Question 27

What are the neurlogic symptoms of thoracic outlet

Answer 27

numbness, parasthesias, muscle weakness

Question 28

what are the vascular symptoms of thoracic outlet syndrome

Answer 28

distal thromboembolism arm pain with exertion (claudication) acute arterial thrombosis If vein then DVT and swelling

Question 29

What are on your Ddx for thoracic outlet

Answer 29

``` pancoast tumor tumor of pulmonary sulcus spinal tumor nerve root tumor OA of C spine arthritis of shoulder cervical radiculopathy ```

Question 30

What special tests help confirm thoracic outlet syndrome

Answer 30

``` Adsens roos spurlings hyperabduction test rib restrictions in ribs 1-5 ```

Question 31

What is the Tx for thoracic outlet syndrome

Answer 31

``` PT NSAIDs steroids muscle blocks surgical decompression (remove cervical ribs 1st rib or clavicle ```

Question 32

What OMT maneuvers can help with thoracic outlet syndrome

Answer 32

SD of ribs, clavicle, sib sons fascia, C spin, T spine

Question 33

Where can the ulnar n be entrapped

Answer 33

epicondylar groove cubital tunnel guyons tunnel