13 results
Spinal Cord Injury by Nerve Root Levels
Spinal Root	Sensory	Motor	Reflex
C4	Acromioclavicular Joint	Respiration	None
C5	Radial Antecubital Fossa	Elbow Flexion	Biceps Reflex
C6	Dorsal Thumb	Wrist Extension	Brachioradialis Reflex
C7	Dorsal
Sensory Motor Reflex ... Antecubital Fossa Elbow ... Middle Finger Elbow ... #differential #diagnosis ... #Neurology #Spine
Motor and Reflex Grading (0-5)

Motor Strength Grading

5	Normal

4	Reduced, moves against resistance

3	Moves against gravity

2	Moves only with elimination of
Motor and Reflex ... Strength Grading 5 Normal ... Increased 2 Normal ... Scoring #Grades #Diagnosis ... #Neurology
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... Guillain-Barré syndrome ... #differential #diagnosis ... #table #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... decortication), abnormal ... flexed at the elbow ... #PhysicalExam #neurology ... #comatose #diagnosis
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Decreased / Absent Reflexes ... Diagnosis: • ... CSF PROTEIN - NORMAL ... Barre #Syndrome #diagnosis ... management #treatment #neurology
A normal plantar reflex response involves toe flexion, or even no movement. A positive test, also
A normal plantar ... reflex response ... Babinski #Sign #Reflex ... PhysicalExam #Diagnosis ... #Neurology
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
Differential Diagnosis ... Tethered cord • Guillain-Barre ... wink test - reflex ... #differential #diagnosis ... #causes #neurology
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Guillain-Barré Syndrome ... depressed deep tendon reflexes ... bulbar muscles DIAGNOSIS ... SinaiBmoreIMRes #GBS #Guillain ... #management #neurology
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
normally elicits elbow ... An abnormal response ... radial (supinator) reflex ... Supinator #Test #Reflex ... #neurology #clinical
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
- C6, C7, C8 Elbow ... , T1 (median) Reflexes ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory