Shared Flashcard Set

Details

E&M Sensory Test
TBD
18
Medical
Undergraduate 1
09/21/2009

Additional Medical Flashcards

 


 

Cards

Term
Disablement Model
Definition
Pathophysiology<-->Impairment<-->Funct. Lim.<-->Disability
Term
ICF stands for
Definition
International Model of Functioning Disability and Health
Term
ICF
Definition
[image]
Term
Clinical Process
Definition
[image]
Term
Protective Sensations

Controlled by...
Definition
Spinothalmic Tracts
Term
Protective Sensations
Definition
Pain
Temperature
Light touch (crudely)
Localized Touch
Term
Discriminative Sensations

Controlled by...
Definition
Dorsal Column Medial Lemniscal System
Term
Discriminative Sensations
Definition
Stereognosis
Barognosis
Graphesthesia
Texture
2 Point Discrimination
Proprioception
Vibration
Term
Types Of Neurological Lesions

Peripheral Nerve
Definition
Loss of all sensation in the distribution of the affected nerve.

USUALLY UNILATERAL
Term
Types Of Neurological Lesions

Nerve Root
Definition
Loss of all sensation in the dermatome of the affected nerve root
Term
Types Of Neurological Lesions

Spinal Cord
Definition
Loss of sensation depends on the extent and area of damage. Complete transection will result in loss of motor and sensory to all areas below damaged segment.
Term
Types Of Neurological Lesions

Diabetic Peripheral Neuropathy
Definition
Bilateral Loss (glove and stocking);

Vibration and Temp lost first

Progresses to loss of protective sensations
Term
Stocking and Glove Sensation Loss
Definition
A pattern of peripheral nerve disease characterized by a relatively sharply demarcated loss of pain, touch, temperature, position and vibration sensation, accompanied by weakness, muscular atrophy, and loss of tendon reflexes–eg, the 'stocking' pattern of distal diabetic polyneuropathy, characterized by waxing and waning paresthesias that worsen at night

(source: http://medical-dictionary.thefreedictionary.com/stocking+&+glove+distribution)
Term
Types Of Neurological Lesions

Anterior Cord Syndrome
Definition
Loss of

Pain/Temperature
Motor Paralysis
Term
Types Of Neurological Lesions

Posterior Cord Syndrome
Definition
Loss of

Proprioception
Light Touch
Term
Types Of Neurological Lesions

Brain Stem
Definition
Sensory Loss in Contralateral side

EXCEPTION: Cranial Nerve deficits are ipsilateral
Term
Types Of Neurological Lesions

Cerebral Cortex
Definition
Sensory loss on contralateral side

-Includes ability to localize the stimulation site (atopognesia)

-Parietal Lobe - Less discriminative sensation (sterognosis, graphesthesia, sensory attention)
Term
Sensory Lab Tests

Sharp/Dull
Definition
*Explain the test
*Get a baseline on unaffected area (face etc.)
*Pt.'s eyes should be closes
*Work distal to proximal
*Compare symmetrical areas on opposite sides
*Randomly alternate between sharp and dull and no sensation.
*Ask for feedback about intensity as well as presence/absence of sensation
*If a deficit is found, map it carefully-compare with areas of innervation, dermatomes etc.
Supporting users have an ad free experience!