CramPuppy.Com

CramPuppy - Free Revision Notes » University » Medicine » Osce » Neurological Examination - Upper Limb for Medical Student OSCE

Neurological Examination - Upper Limb for Medical Student OSCE

Share View PDF | Print View | Views: 0 |

 

1. Ask: pain?

2. Inspection

1.  

   1. Scars

   2. Asymmetry and atrophy

   3. Fasciculations: flick muscles

1. Tone

   1. Wrist, elbow, shoulder

   2. Cogwheel movements at wrist?

2. Power: shoulder, elbow, wrist, fingers, thumb

   1.  

      1. Minimal movement

      2. Movement perpendicular to gravitational plane

      3. Movement against gravity only

      4. Movement against gravity and mild resistance

      5. Movement against gravity and stronger resistance

3. Reflexes

   1. Biceps (C5-6), Triceps (C6-7), Supinator (brachioradialis) (C5-6)

   2. Rating

      1. Hyperactive (+++)

      2. Normal (++)

      3. Diminished (+)

      4. Absent (-)

      5. Present only with reinforcement (±)

4. Coordination

   1. Dysdiadokokinesis

   2. Nose to finger: intention tremor

5. Sensation: fine touch, pain, vibration (128 Hz tuning fork), proprioception

1.  

   1. Compare to sternum, and side to side

   2. Dermatomes

      1. Lateral arm: C5

      2. Lateral forearm: C6

      3. Middle finger: C7

      4. Medial hand: C8

      5. Medial arm: T1

1. Further tests

   1. Lower limb neurological examination

   2. Nystagmus: to confirm cerebellar problems

   3. Abdominal reflexes (T8-12)

Stroke briskly but lightly in a medial direction across upper and lower quadrants of abdomen. Umbilicus moves laterally, down or up depending on quadrant tested.

About the Author

by: Admin
Total views: 0
Word Count: 464
Date: Fri, 22 Jan 2010 Time: 3:58 PM
0 comments

---

Rating: Not yet rated
Login to vote

Comments

No comments posted.

Add Comment

You do not have permission to comment. If you log in, you may be able to comment.

Search

Normal Search:

Advanced Search

Tag Cloud

Community

Welcome Guest

PageNav

Categories

Users Online

17