Term
|
Definition
| Cranial nerve 7 damaged by herpes simplex virus leading to paralysis. Usually unilateral |
|
|
Term
|
Definition
| Herpes simplex 1 or 2 climbs up, attacks facial nerve. (other causes of facial nerve palsys: cancer pressing on nerve, stroke, Lyme's disease) |
|
|
Term
| Bells' Palsy Signs and Symptoms |
|
Definition
| One sided facial paralysis, can't fully close eye, hyperacusis (noise is bothersome in one ear) smoothing of forehead, eyebrow droop, corner of mouth droop |
|
|
Term
|
Definition
| Drugs: cyclovir, famvir. These drugs diminish rate of transmission to sero-negative partner |
|
|
Term
|
Definition
| Compression of median nerve in carpal tunnel of wrist |
|
|
Term
| Carpal Tunnel Syndrome symptoms |
|
Definition
| progressive numbness in hand, usually along palmar side of thumb, index, middle finger, parasthesia |
|
|
Term
| Carpal Tunnel Syndrome Causes |
|
Definition
| Rheumatoid arthritis, diabetes mellitus, hypothyroidism, acromegaly, amyloidosis, pregnancy (edema in ct), repetitive flexion, extension of wrist, trauma, chronic edemitous state, often no cause found |
|
|
Term
| Carpal Tunnel Syndrome Physical exam general |
|
Definition
Resistance abduction: push on both abducted thumbs to see if similarly strong on affected side or not.
Sensory loss in lateral 3.5 fingers, weakness of hand, Muscle atrophy of thenar eminance, |
|
|
Term
| Carpal Tunnel Syndrome Physical exam Tinel's sign |
|
Definition
| Compress median nerve on thumb side of palmaris longus tendon to see if it produces parasthesia |
|
|
Term
| Carpal Tunnel Syndrome Physical exam Phalen's sign |
|
Definition
| Press 2 backs of hands together for 1 minute to see if parasthesia gets worse. |
|
|
Term
| Carpal Tunnel Syndrome TX |
|
Definition
Wear splint at night to allow median nerve to heal
Periodic breaks from repetitive motions.
Ergonomic evaluation of work site
Inject steroids into wrist to decrease inflammation
Surgery to open tunnel and release pressure |
|
|
Term
| Carpal Tunnel Syndrome TX |
|
Definition
Wear splint at night to allow median nerve to heal
Periodic breaks from repetitive motions.
Ergonomic evaluation of work site
Inject steroids into wrist to decrease inflammation
Surgery to open tunnel and release pressure |
|
|
Term
| Carpal Tunnel Syndrome other causes of parasthesia in upper extremity |
|
Definition
| Ulnar neuropathy, cervical reticulopathy, thoracic outlet syndrome |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Repetitive motion, sleeping on bent elbow, cycling, leaning on elbow, |
|
|
Term
| Ulnar neuropathy Physical exam Tinel's sign for ulnar neve |
|
Definition
| Stretch arm across opposite shoulder. Press on groove on ulnar side of elbow to see if numbness gets worse |
|
|
Term
| Ulnar neuropathy Physical exam general |
|
Definition
| Atrophy between thumb and first finger |
|
|
