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Basic Peripheral Nerve Examination.pptx
- 1. MARGIE'S TRAVEL 1 M LECTURE BASIC PERIPHERAL NERVE EXAMINATION IW A Y A N A R Y A N T A P U T R A
- 2. MARGIE'S TRAVEL 2 M BASICS • Bundles ofnerve fibers found in the CNS are referred to as nerve tracts; bundles of nerve fibers found in the PNS are called peripheral nerves. • The formation of a nerve plexus allows individual nerve fibers to pass from one peripheral nerve to another. • The cervical and brachial plexuses are at the root of the upper limbs; the lumbar and sacral plexuses are at the root of the lower limbs.
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- 6. MARGIE'S TRAVEL 6 M CERVICAL PLEXUS The cervicalplexus has 4 cutaneous branches: • The great auricular (C2-3) supplies skin over the angle of the mandible, parotid, mastoid, and auricle. • Lesser occipital (C2-3) supplies the lateral part of the occiput and medial surface of the auricle. • Supraclavicular (C3-4). • The transverse cervical nerve (C2- 3) supplies skin over the anterior and lateral neck from the mandible to the sternum.
- 7. MARGIE'S TRAVEL 7 M BRACHIAL PLEXUS The brachialplexus forms from the ventral rami of C5-8 and T1: • C5 and C6 ventral rami join to form the superior trunk. • C7 ventral ramus continues alone to form the middle trunk. • C8 and T1 ventral rami join to form the inferior trunk. Each trunk divides into an anterior and posterior division.
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- 10. MARGIE'S TRAVEL 10 M Motor • Appearance • Tone •Power Sensory • Pain • Light touch • Temperature • Joint position • Vibration • 2 point discrimination • Sensory inattention • Stereognosis • Graphanesthesia Reflex • Physiological reflex • Pathological reflex • Coordination EXAMINATIONS
- 11. MARGIE'S TRAVEL 11 M MOTOR: APPEARANCE • Deformityor asymmetry • Wasting • Hypertophy • Fasciculation • Myokimia
- 12. MARGIE'S TRAVEL 12 M MOTOR: TONE • Deformityor asymmetry • Wasting • Hypertophy • Fasciculation • Myokimia
- 13. MARGIE'S TRAVEL 13 M MOTOR: POWER MRC Scale Scor e Interpretation 0No contraction 1 Flicker 2 Active movement, gravity eliminated 3 Active movement against gravity 4 Active movement against resistance 5 Normal power
- 14. MARGIE'S TRAVEL 14 M SENSORY: PAIN, LIGHTTOUCH AND TEMPERATURE • Deformity or asymmetry • Wasting • Hypertophy • Fasciculation • Myokimia
- 15. MARGIE'S TRAVEL 15 M REFLEX: PHYSIOLOGICAL REFLEX •Deformity or asymmetry • Wasting • Hypertophy • Fasciculation • Myokimia
- 16. MARGIE'S TRAVEL 16 M REFLEX: PATHOLOGICAL REFLEX •Deformity or asymmetry • Wasting • Hypertophy • Fasciculation • Myokimia
- 17. MARGIE'S TRAVEL 17 M COORDINATION • Deformity orasymmetry • Wasting • Hypertophy • Fasciculation • Myokimia
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- 19. MARGIE'S TRAVEL 19 M ANATOMY AND PHISIOLOGY •Deformity or asymmetry • Wasting • Hypertophy • Fasciculation • Myokimia
- 20. MARGIE'S TRAVEL 20 M MYOTOME • Deformity orasymmetry • Wasting • Hypertophy • Fasciculation • Myokimia
- 21. MARGIE'S TRAVEL 21 M DERMATOME • Deformity orasymmetry • Wasting • Hypertophy • Fasciculation • Myokimia
- 22. MARGIE'S TRAVEL 22 M Sensory • Pain • Lighttouch • Temperature • Joint position • Vibration • 2 point discrimination • Sensory inattention • Stereognosis • Graphanesthesia Reflex • Physiological reflex • Pathological reflex • Coordination EXAMINATIONS
- 23. MARGIE'S TRAVEL 23 M SENSORY: PAIN, LIGHTTOUCH AND TEMPERATURE • Deformity or asymmetry • Wasting • Hypertophy • Fasciculation • Myokimia
- 24. MARGIE'S TRAVEL 24 M REFLEX: PHYSIOLOGICAL REFLEX •Deformity or asymmetry • Wasting • Hypertophy • Fasciculation • Myokimia
- 25. MARGIE'S TRAVEL 25 M REFLEX: PATHOLOGICAL REFLEX •Deformity or asymmetry • Wasting • Hypertophy • Fasciculation • Myokimia
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- 27. MARGIE'S TRAVEL 27 M ANATOMY AND PHISIOLOGY •Deformity or asymmetry • Wasting • Hypertophy • Fasciculation • Myokimia
- 28. MARGIE'S TRAVEL 28 M BRACHIAL PLEXUS • Deformityor asymmetry • Wasting • Hypertophy • Fasciculation • Myokimia
- 29. MARGIE'S TRAVEL 29 M MYOTOME AND DERMATOME •Deformity or asymmetry • Wasting • Hypertophy • Fasciculation • Myokimia
- 30. MARGIE'S TRAVEL 30 M Motor • Appearance • Tone •Power Sensory • Pain • Light touch • Temperature • Joint position • Vibration • 2 point discrimination • Sensory inattention • Stereognosis • Graphanesthesia Reflex • Physiological reflex • Pathological reflex • Coordination EXAMINATIONS
- 31. MARGIE'S TRAVEL 31 M MOTOR: APPEARANCE • Deformityor asymmetry • Wasting • Hypertophy • Fasciculation • Myokimia
- 32. MARGIE'S TRAVEL 32 M MOTOR: TONE • Deformityor asymmetry • Wasting • Hypertophy • Fasciculation • Myokimia
- 33. MARGIE'S TRAVEL 33 M MOTOR: POWER MRC Scale Scor e Interpretation 0No contraction 1 Flicker 2 Active movement, gravity eliminated 3 Active movement against gravity 4 Active movement against resistance 5 Normal power
- 34. MARGIE'S TRAVEL 34 M SENSORY: PAIN, LIGHTTOUCH AND TEMPERATURE • Deformity or asymmetry • Wasting • Hypertophy • Fasciculation • Myokimia
- 35. MARGIE'S TRAVEL 35 M REFLEX: PHYSIOLOGICAL REFLEX •Deformity or asymmetry • Wasting • Hypertophy • Fasciculation • Myokimia
- 36. MARGIE'S TRAVEL 36 M REFLEX: PATHOLOGICAL REFLEX •Deformity or asymmetry • Wasting • Hypertophy • Fasciculation • Myokimia
- 37. MARGIE'S TRAVEL 37 M 1. Snells ClinicalNeuroanatomy 2. REFERENCES
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