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42061
Neurological Examination of Limb
Description
Mind Map on Neurological Examination of Limb, created by aaaa on 09/04/2013.
Mind Map by
aaaa
, updated more than 1 year ago
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Created by
aaaa
over 11 years ago
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Resource summary
Neurological Examination of Limb
Upper Limb
Introduction
Inspection
posture & symmetry
symmetry, size & shape of muscles
scars & bruising
abnormal movements
athetosis
dystonia
intention tremor
fasciculation
Assessment of Tone
ask patient to relax arm
put each major joint through a full range of movement
Assessment of Power
shoulder abduction
Elbow
Flexion
Extension
Finger
Flexion
Abduction
Adduction
Thumb abduction
Scoring System
0 no movement
1 muscle belly moves but joint does not move
2 Joint moves with gravity eliminated
3 Joint moves against gravity
4 joint moves against gravity & resistance
5 Full strength
Tendon Reflexes
Biceps C6
Triceps C7
Brachoradialis C6
Jendrassik's maneuvre
Sensation
Dorsal Column
vibration
Proprioception
Light touch
2 point discrimination
Spinothalamic
Pain
Temperature
some light touch
Coordination
finger-nose
finger-finger
tremor & overshooting
Alternating hand movements
dysdiadochokinesia
Fine movement
Cerebellar drift (rebound)
Conclusion
Lower Limb
Inspection
Muscle Wasting
Asymmetry
Fasciculation
Tone
ankle clonus
roll leg on bed to assess ease of movement
pull up on knee
Power
hip flexion
hip extension
knee flexion
knee extension
dorsiflexion
Plantarflexion
Toe Plantarflexion
Toe Dorsiflexion
Reflexes
Patellar
ankle
plantar
Function
Romberg's test
Sensation
Dorsal Column
Vibration
Proprioception
Discriminative Touch
Spinothalamic
Pain
Temperature
Non-discriminative light touch
Elements that need to be intact
Brain
Spinal Cord
Peripheral Nervous System
Muscles
Tendons & Attachments
Bone
Method
Inspection
Palpation
Auscultation
Percussion
Comparison
Left to Right
Proximal to distal
Upper & Lower Motor Neurone lesions
Test for
Tone
Power
Reflexes
Sensation
Coordination
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