numbness Flashcards

(37 cards)

1
Q

Pins and needles, no pain, appears even with (-) stimulus

A

paresthesia

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2
Q

Cover all types of abnormal sensation including

painful ones, (+/-) stimulus.

A

dysesthesia

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3
Q

pain in response to touch

A

hyperesthesia

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4
Q

reduction of cutaneous sensation

A

hypesthesia

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5
Q

Reduced pain perception (usually seen in poorly

controlled diabetic patients)

A

hypalgesia

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6
Q

Encompasses all (Allodynia, Hyperesthesia,
Hyperalgesia)
o Delayed perception with increased threshold of
pain

A

Hyperpathia

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7
Q

patient sways markedly or topples when asked to stand with feet close together and eyes closed

A

+ romberg sign

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8
Q

pain and temperature

A

spinothalamic tracts/ anterolateral system

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9
Q

TOUCH, PROPRIOCEPTION and VIBRATION

A

POSTERIOR COLUMN-MEDIAL LEMNISCAL

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10
Q

posterior column

A

ipsilateral— proprioception, vibration

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11
Q

spinothalamic tract

A

contralateral — pain, light touch, temperature

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12
Q

motor supply

A

anterior and lateral corticospinal

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13
Q

small fobers

A

Pain, temperature, Heat and cold

PTHC

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14
Q

Large fibers

A

touch, vibration, position

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15
Q

an area of skin supplied by a single spinal nerve for the modalities of sensation.

A

dermatomes

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16
Q

dermatome plexus

A

lumbosacral plexus

17
Q

dermatomes of the upper limbs

A

brachial plexus

18
Q

dermatomes of the trunk

A

facial, cervical, thoracic

19
Q

PROPRIOCEPTION: ORDER OF TESTING (upperlimb)

A

Distal interphalangeal joint, proximal interphalangeal joint, metacarpophalangeal joint,
wrist, elbow, shoulder

20
Q

proprioception order of testinhg (lowerlimb)

A

Distal interphalangeal joint of the hallux, metatarsophalangeal joint, ankle knee and hip

21
Q

quantitative sensory testing

A

2-point discrimination
touch localization
bilateral simultaneous stimulation tests

22
Q

perception of figures on the skin,
writing a letter/number on the patient’s skin and
the patient will try to identify

A

graphesthesia

23
Q

identifying objects

24
Q

balance requires

A

o Vision
o Vestibular sense
o Proprioception

25
Falling with eyes open or closed
cerebellar lesion
26
falling only with eyes closed
posterior column or vestibular lesion
27
deep aching pain along the course of the related nerve trunk
nerve & root: radicular or root lesions
28
simultaneous malfunction of many peripheral nerves throughout the body
polyneuropathies
29
enhanced pain but other sensations are diminished
polyneuropathies
30
are not dermatomal and usually result in loss of sensation, not pain such as the Thalamic lain syndrome
central deficit
31
brown-sequard
hemisection of the cord
32
in hemisection of the cord, there is loss of
proprioception and vibration
33
The afferent sensory fibers are damaged and | theoretically cut so there will be lost of proprioception, vibration, temperature, pain, and light touch.
complete transection
34
harlequin pattern and lateral medullary syndrome
brainstem lesion
35
right face affected and left neck | downwards affected.
right lesion
36
left face affected and right neck downwards affected.
left lesion
37
 Opposite side will be affected. There will be loss of proprioception, vibration, temperature, pain, and light touch.  The feeling is like the flesh is being torn off or being bathed in acid. It is very painful.
thalamic lesion