57 results
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
decortication), abnormal extensor ... direction to the body; wrists ... Arms extended; wrists ... from the body; wrists ... Casey Albin MD @
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
C6 Dorsal Thumb Wrist ... Extension Brachioradialis ... Middle Finger Elbow Extension ... Femoral Condyle Knee Extension ... 2nd MTP) Big Toe Extension
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... C7 (median) • Extension ... C8 (median) • Extension ... , T1 (median) Reflexes ... Horner Syndrome Wrist
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
Inverted Supinator Test ... extension and wrist ... radial (supinator) reflex ... Inverted #Supinator #Test ... #Reflex #neurology
Normal (Negative) Babinski / Plantar Reflex

The plantar reflex is a reflex elicited when the sole of
Babinski / Plantar Reflex ... The plantar reflex ... is a reflex elicited ... causes a downward ... upward response (extension
 The following #reflexes are routinely tested, and the response elicited is graded from zero to
triceps muscle with extension ... is best elicited ... Wrist clonus is ... forcible flexion or extension ... of the wrists.
Newer Syphilis Reverse Algorithm 

The advent of newer, faster 
treponemal antibody tests have 
allowed high-throughput of
treponemal antibody tests ... specific trep. tests ... trep antibody) Reflex ... RPR) Non-trep tests ... of inflammation caused
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... : Most Common Causes ... Tuberculosis: can cause ... Palmar creases - Extensor ... clue • Blood tests
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Bunnel-Littler PIP Joint Test ... joint capsule cause ... limited in MCP extension ... tight PIPJ in MCP extension ... BunnelLittler #Test
Maudsley's Test for Lateral Epicondylitis ("Tennis Elbow")

With the wrist prone, the patient attempts extension of the
Maudsley's Test ... ") With the wrist ... patient attempts extension ... movement stresses the extensor ... The test is positive