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Name- P.Umera Banu
Age- 29/F
Mrd no- 1321013
Diagnosis –
L2 nerve sheath tumour
A 29/F patient who is right handed by nature ,
-c/o low back ache radiating to right lower limb for 5
years, dull aching partially relieved by medication.
- c/o Neurogenic claudication of 200 mtrs present
- c/o paresthesia of both lower limbs present.
- No H/o trauma
- No bowel symptoms
- No slippage of chappals
MOTOR SYSTEM:
Tone
• Normal in both upper and lower limbs
Bulk
• Normal in both upper and lower limbs
Power - right left
Upper limb
Shoulder- 5/5 5/5
Elbow- 5/5 5/5
Wrist- 5/5 5/5
Lower limb
Hip- 5/5 5/5
Knee- 5/5 5/5
Ankle- 5/5 5/5
EHL- 5/5 5/5
• Reflexes –
• Superficial reflexes-present
• DTR: BJ TJ S KJ AJ
Right - 2+ 2+ 2+ 3+ 2+
Left - 2+ 2+ 2+ 2+ 1+
Plantars- both flexors
Sensory system-normal
Cerebellar signs: no
Tandem Gait : normal
Meningeal signs: no
Umera bhanu.pptx
Umera bhanu.pptx
Umera bhanu.pptx
Umera bhanu.pptx
Umera bhanu.pptx
Umera bhanu.pptx
Umera bhanu.pptx
Umera bhanu.pptx

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Umera bhanu.pptx

  • 1. Name- P.Umera Banu Age- 29/F Mrd no- 1321013 Diagnosis – L2 nerve sheath tumour
  • 2. A 29/F patient who is right handed by nature , -c/o low back ache radiating to right lower limb for 5 years, dull aching partially relieved by medication. - c/o Neurogenic claudication of 200 mtrs present - c/o paresthesia of both lower limbs present. - No H/o trauma - No bowel symptoms - No slippage of chappals
  • 3. MOTOR SYSTEM: Tone • Normal in both upper and lower limbs Bulk • Normal in both upper and lower limbs
  • 4. Power - right left Upper limb Shoulder- 5/5 5/5 Elbow- 5/5 5/5 Wrist- 5/5 5/5 Lower limb Hip- 5/5 5/5 Knee- 5/5 5/5 Ankle- 5/5 5/5 EHL- 5/5 5/5 • Reflexes – • Superficial reflexes-present • DTR: BJ TJ S KJ AJ Right - 2+ 2+ 2+ 3+ 2+ Left - 2+ 2+ 2+ 2+ 1+ Plantars- both flexors
  • 5. Sensory system-normal Cerebellar signs: no Tandem Gait : normal Meningeal signs: no