Reflexes
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This document lists and describes various reflexes that newborn babies exhibit, including the rooting reflex, sucking reflex, yawning reflex, sneezing and coughing reflex, glabellar reflex, blinking reflex, doll's eye reflex, corneal reflex, palmar grasp reflex, planter grasp reflex, pincer grasp, Babinski reflex, tonic neck reflex, Moro reflex, startle reflex, stepping/dancing reflex, crawl reflex, parachute reflex, Landau reflex, traction reflex, and Chvostek reflex.
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Reflexes
Reflexes are unlearned stereotypical responses to stimuli. The types of reflexes in infants include the Moro reflex, grasping reflex, tonic-neck reflex, rooting reflex, stepping reflex, and sucking reflex. These reflexes are important for an infant's development and survival.
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Wound healing of cornea
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Blink reflex 1
The blink reflex is a disynaptic or multisynaptic reflex that involves the trigeminal and facial nerves. It has two responses - an early ipsilateral R1 response and a late bilateral R2 response. The blink reflex test stimulates the supraorbital nerve branch to evaluate conduction along the trigeminal and facial nerve pathways. Abnormalities in the R1 and R2 responses can localize lesions in different parts of the brainstem or peripheral nerves. The test involves recording electromyography of the orbicularis oculi muscle in response to supraorbital nerve stimulation.
Corneal transparency
The document discusses factors that affect corneal transparency. The main points are:
1. The cornea's main function is to refract light to form a clear retinal image. Normal transparency results from the cornea's anatomical structure and relative dehydration.
2. Any disruption to the cornea's anatomy or physiology can cause loss of transparency. Key factors are the corneal epithelium, tear film, stromal layer arrangement, vascularization, hydration, and cellular components.
3. The corneal epithelium and tight junctions between cells contribute to transparency and act as a barrier. Disruptions to the epithelium or tear film can compromise transparency.
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This document provides a quick review of 14 primitive reflexes in infants, including the stimulus needed to elicit each reflex, the expected motor response, the typical duration of each reflex, and potential neurological implications if a reflex is abnormal. It describes reflexes involving the cephalic, neck, trunk, upper and lower extremities, as well as suspension and stepping reflexes. For each reflex, it concisely outlines the key details necessary to understand the clinical assessment and implications.
Corneal physiology
The document summarizes key aspects of corneal physiology:
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2. The functions of the cornea are outlined as providing refractive power, protecting intraocular structures, and allowing images to reach the retina.
3. Factors like transparency, curvature regularity, and smoothness are described as affecting corneal function. Measurement techniques for analyzing the cornea's optical properties are also discussed.
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Reflexes
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This document discusses corneal nutrition, metabolism, and the effects of hypoxic conditions. There are three main metabolic processes in the cornea: 1) the pentose phosphate pathway, which produces intermediates for nucleic acid synthesis, 2) glycolysis, which converts glucose to pyruvate and yields 2 ATP per glucose molecule, and 3) the Krebs cycle, which fully breaks down glucose under aerobic conditions to produce 36 ATP per cycle. Hypoxic conditions like prolonged contact lens wear can increase lactate production and induce stromal edema, leading to clinical issues like halos and decreased visual acuity. Maintaining adequate oxygen is important for normal corneal function and health.
Wound healing of cornea
1. Corneal wound healing involves an epithelial phase, stromal phase, and endothelial phase. The epithelial phase begins within 12-48 hours as the surface epithelium slides and replicates to form a plug. The stromal phase lasts several weeks as keratocytes transform and synthesize new collagen to bridge the wound. The endothelial phase can take up to 30 days as the monolayer remodels to form a functional barrier.
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The document summarizes key details about the anatomy and physiology of the cornea. It describes the cornea's layers, thickness, curvature, cell types, refractive power, transparency mechanisms, metabolism, innervation, and role in maintaining hydration. A new potential layer called Dua's layer is also mentioned. The summary is as follows:
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Blink reflex 1
The blink reflex is a disynaptic or multisynaptic reflex that involves the trigeminal and facial nerves. It has two responses - an early ipsilateral R1 response and a late bilateral R2 response. The blink reflex test stimulates the supraorbital nerve branch to evaluate conduction along the trigeminal and facial nerve pathways. Abnormalities in the R1 and R2 responses can localize lesions in different parts of the brainstem or peripheral nerves. The test involves recording electromyography of the orbicularis oculi muscle in response to supraorbital nerve stimulation.
Corneal transparency
The document discusses factors that affect corneal transparency. The main points are:
1. The cornea's main function is to refract light to form a clear retinal image. Normal transparency results from the cornea's anatomical structure and relative dehydration.
2. Any disruption to the cornea's anatomy or physiology can cause loss of transparency. Key factors are the corneal epithelium, tear film, stromal layer arrangement, vascularization, hydration, and cellular components.
3. The corneal epithelium and tight junctions between cells contribute to transparency and act as a barrier. Disruptions to the epithelium or tear film can compromise transparency.
Primitive reflexes
This document provides a quick review of 14 primitive reflexes in infants, including the stimulus needed to elicit each reflex, the expected motor response, the typical duration of each reflex, and potential neurological implications if a reflex is abnormal. It describes reflexes involving the cephalic, neck, trunk, upper and lower extremities, as well as suspension and stepping reflexes. For each reflex, it concisely outlines the key details necessary to understand the clinical assessment and implications.
Corneal physiology
The document summarizes key aspects of corneal physiology:
1. It describes the structure and optical properties of the cornea, including its thickness, curvature, and role in refractive power.
2. The functions of the cornea are outlined as providing refractive power, protecting intraocular structures, and allowing images to reach the retina.
3. Factors like transparency, curvature regularity, and smoothness are described as affecting corneal function. Measurement techniques for analyzing the cornea's optical properties are also discussed.
Anatomy and physiology of cornea
The document provides information on the anatomy and physiology of the cornea. It discusses the gross anatomy including the layers of the cornea - epithelium, Bowman's layer, stroma, Descemet's membrane, and endothelium. The microanatomy and ultrastructure of each layer is described. Key points include the lamellar structure of the stroma providing transparency, regeneration of the epithelium from basal stem cells, and the theories behind corneal transparency relating to the structure of the stromal collagen fibers.
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The cornea has five layers - epithelium, Bowman's layer, stroma, Descemet's membrane, and endothelium. The stroma makes up around 90% of the cornea thickness and contains collagen fibrils and keratocytes. The stroma's collagen is arranged in tightly packed, regularly spaced lamellae that run parallel to the corneal surface. Keratocytes maintain the stroma by synthesizing collagen and proteoglycans. The epithelium is stratified and squamous, consisting of basal, wing, and surface cells. It regenerates through cell migration from the limbus. Injury repair involves cell migration, proliferation, and remodeling.
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This document describes several neonatal reflexes present in newborn infants, including Moro's reflex, the palmar grasp, tonic neck reflex, rooting reflex, and sucking reflex. These reflexes are unconditioned responses to specific stimuli and help assess neurodevelopment. The document provides details on what elicits each reflex, the typical response, when they appear and disappear during development, and potential abnormalities if a reflex is absent, exaggerated, or persists beyond the normal timeframe. Understanding neonatal reflexes is important for evaluating infant development and identifying possible neurodevelopmental issues.
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The cornea is the transparent front part of the eye that transmits and focuses light. It has 3 main layers - an outer epithelial layer, a thick middle stromal layer made of collagen, and an inner single-cell endothelial layer. The cornea derives its strength and curvature from the orderly arrangement of collagen in the stroma. It remains transparent due to its regular structure without blood vessels and the deturgescent properties maintained by the endothelial pump. The cornea has a high metabolic rate powered by glucose and oxygen and is innervated by nerves for vision and protection.
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Primitive reflexes are a group of motor responses normally present in early development that are suppressed with cortical maturation. They may reappear, or be "released", in adults with frontal lobe lesions. The document lists several primitive reflexes like the grasp, snout, and palmomental reflexes. It describes how each reflex is elicited and its clinical significance, such as being present in mental deficiency, birth injuries, or diffuse cerebral atrophy.
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This document summarizes various reflexes present at birth and during early childhood development. It describes general body reflexes like the moro reflex and startle reflex, as well as facial reflexes, oral reflexes, and other reflexes. It provides details on the onset and disappearance of each reflex, how they are elicited, and their significance. The document serves as a reference for understanding reflex development in infants and children.
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The document discusses various reflexes seen in infants and their significance. It begins by defining a reflex and describing the basic reflex arc involving receptors, afferent nerves, centers, efferent nerves and effectors. Reflexes are then classified based on whether they are inborn or acquired, their neurological pathway, purpose and clinical presentation. Several important reflexes seen in newborns like the moro, rooting and babinski reflexes are explained in detail. The document emphasizes that assessment of infant reflexes helps identify normal development and potential abnormalities.
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This document summarizes various reflexes present in infants, including general body reflexes like the Moro reflex, startle reflex, and grasp reflex. It also discusses facial reflexes such as the nasal reflex, blink reflex, and corneal reflex. Finally, it outlines several oral reflexes in infants including the rooting reflex, sucking reflex, swallowing reflex, and gag reflex. The document provides details on when each reflex develops and disappears during infancy.
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The cornea is the transparent front part of the eye that transmits and focuses light. It has 3 main layers - an outer epithelial layer, a thick middle stromal layer made of collagen, and an inner single-cell endothelial layer. The cornea derives its strength and curvature from the orderly arrangement of collagen in the stroma. It remains transparent due to its regular structure without blood vessels and the deturgescent properties maintained by the endothelial pump. The cornea has a high metabolic rate powered by glucose and oxygen and is innervated by nerves for vision and protection.
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This document summarizes various reflexes present at birth and during early childhood development. It describes general body reflexes like the moro reflex and startle reflex, as well as facial reflexes, oral reflexes, and other reflexes. It provides details on the onset and disappearance of each reflex, how they are elicited, and their significance. The document serves as a reference for understanding reflex development in infants and children.
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The document discusses various reflexes seen in infants and their significance. It begins by defining a reflex and describing the basic reflex arc involving receptors, afferent nerves, centers, efferent nerves and effectors. Reflexes are then classified based on whether they are inborn or acquired, their neurological pathway, purpose and clinical presentation. Several important reflexes seen in newborns like the moro, rooting and babinski reflexes are explained in detail. The document emphasizes that assessment of infant reflexes helps identify normal development and potential abnormalities.
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Reflexes
- 11. CORNEAL REFLEX
- 14. PINCER GRASP
- 15. BABINSKI REFLEX
- 17. MORO REFLEX
- 18. STARTLE REFLEX
- 20. CRAWL REFLEX
- 21. PARACHUT REFLEX
- 22. LANDUA REFLEX
- 23. TRACTION REFLEX
- 24. CHVOSTEK REFLEX