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Guide for testing and documenting neurological function in kids with upper limb fractures 

Rock - Median
with upper limb fractures ... drsarahedwards #Diagnosis ... #PhysicalExam # ... Mnemonic #Upper #Arm #Injury ... #Innervation
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
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Assessment of Nerve ... Injuries Rock - Median ... Flexion Paper - Radial ... #Injury #UpperExtremities ... #diagnosis #neurology
CN III Palsy - Oculomotor Nerve
 • Ptosis: Loss of innervation of the levator palpebrae superior.
Palsy - Oculomotor Nerve ... comparison to Horner's syndrome ... inferior rectus, medial ... #Cranial #neurology ... #diagnosis
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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common orthopedic injury ... common orthopedic injury ... , median nerve injury ... carpal tunnel syndrome ... Radiology #XRay #Diagnosis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
nerve in the radial ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
palsy • Medial ... Fasciculus (MLF) Iniury ... One-and-a-half Syndrome ... ophthalmology #neurology ... #differential #diagnosis
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Tumor • Motor Nerves ... injury, Sarcoid ... Shellfish poisoning, Meds ... #differential #diagnosis ... #neurology
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
ulnar shaft with radial ... posterior interosseous nerve ... ), compartment syndrome ... , ligamentous injury ... Radiology #XRay #Diagnosis
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
capitellum (age 1), radial ... anterior interosseous nerve ... brachial artery injury ... ), compartment syndrome ... Radiology #XRay #Diagnosis
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Cauda Equina Syndrome ... Medical Emergency ... damage to peroneal nerve ... such as fibular fracture ... #neurology #sensory