periph neuropathies Flashcards Preview

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Flashcards in periph neuropathies Deck (20)
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1
Q
  • caused by trauma, obesity, fluid retention (preg), hypothyroidism, RA
  • numbness/tingling in first 3 digits
  • thenar atrophy, nocturnal pain (ape hand)
A

carpal tunnel syndrome

2
Q

tests for carpal tunnel

A

tinel’s
phalen’s
gring strength with dynamometer

3
Q

carpal tunnel tx

A

adjust, cock up splint, B6

4
Q
  • pain/parasthesia on volar forearm, lat palm, lat digits
  • anterior interosseous nerve
  • cause by hypertonicity of muscle by occupation
  • pn w/ pronation, wrist flx, thenar atrophy
A

pronator teres syndrome

5
Q

test for pronator teres syndrome

A
  • pinch grip test

- patient presents that they cant pick up coins from the table

6
Q

tx for pronator teres syndrome

A

TrP therapy, spray and stretch

7
Q
  • tunnel of guyon, cubital tunnel caused by direct trauma, rep microtrauma
  • pn/ting, numb in last 2 digits, weakness of adductor pollicis (claw hand), hypothenar atrophy
A

ulnar nerve entrapement

8
Q

palsy for lower brachial plexus (C8-T1) from childbirth, creates a claw hand deformity with wrist flexion

A

klumpke’s paralysis

9
Q

-wrist drop, erb’s palsy, saturday night palsy, crutch palsy via the spiral groove caused by trauma, lead poisoning, pressure from crutches

A

radial nerve entrapment

10
Q

presentation of radial nerve entrapment

A

loss of tricep reflex

decreased sens to post arm, forearm, posterolateral 3.5 fingers

11
Q

pain from pelvis to floor caused by trauma, traction, wallet pressure, piriformis, muscle spasm
-sens pn in post butt, thigh, weak knee flx, dec achilles reflex

A

sciatica

12
Q

ddx for sciatica

A

facet (but facet doesnt go to the floor)

13
Q

-bt metatarsal 3/4 caused by rep microtrauma, narrow toed shoes, RA, foot deform that presents with painin toes and dorsum of foot and may require surgery

A

morton’s neuroma )intermetatarsal)

14
Q

-deep peroneal nerve that can affect of the four muscles: tib ant, EHL, EDL, peroneus tertius, s/sx similar to charcot marie tooth

A

anterior compartment syndrome

15
Q

fingertip is curled and cant straighten, results from injury

A

mallet finger

16
Q

hyperflx of DIP and hyperext of PIP, in RA

A

swan neck deform

17
Q

hyperext of DIP and hyperflx of PIP, RA

A

boutonniere deform

18
Q

abnorm thickening under skin of palm and fingers, causes last 2 fingers to curl into palm, later middle finger may be involved

A

dupuytren’s contracture

19
Q

finger locked in flx, tendon becomes inflamed and swollen, person must force the swollen area into a sheath producing a pop/snap to straighten it

A

trigger finger

20
Q

inflam of EPB, APL tendons on thes ide of wrist at base of thumb, from strain, tx with brace, finkelstein

A

dequrvain tenosynovitis