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symptoms of anterior cord syndrome
- loss of motor function, pain, temp
- preservation of light touch and position sense
symptoms of central cord syndrome
- loss of UE function
- preservation of LE function
symptoms of sacral sparing
preservation of perianal sensation and active toe flexion
- on side of lesion: weakness, loss of position sense, loss of vibration sense
- on contralat side: loss of pain and temp
stork test identifies __
impairment of ulnar nerve as seen by weakness in adductor pollicis when a thumb-index grip is trying to hold a piece of paper (the pt will use FPL/median nerve and the IP will flex)
albuterol - for what? side effects?
- tremor, anxiety, nervousness, weakness
falls risk and nitroglycerin?
yes, even with small doses
signs of brainstem dysfunction affecting extramyramidal pathways
signs of pyramidal or cortical dysfunction
UMNL stuff - hypertonicity, hyperreflexia, generalized paresis, variable disuse atrophy
lumbar quadrant test ids what?
lumbar facet dysfunction
valsalva's maneuver identifies what?
space occupying lesion (tumor, disc herniation, etc)
bicycle (van Glederen's) test
put pt on a a bike to differentiate btwn spinal stenosis and intermittent vascular claudication
signs and symptoms of bacterial pneumonia
- gradual onset of a few days
- productive cough
- decreased PaO2 and SaO2 (bc pneumonia interferes w O2 transport from alveoli to pulmonary capillaries)
- crackles in area of pneumonia
lemniscal impingement --> what changes
test for calcaneofibular lig
Thompson's test is for what?
intgrity of achilles tendon
Morton's test is for what?
presence of stress fracture or neuroma in foot
how to do Thompson test
- prone, foot off edge of table
- squeeze the calf and see if there's PF
how to do Morton's test
- supine, foot supported on table
- grasp around metatarsal heads and squeeze
- pos: pain in forefoot
- SLS and do trunk ext
- pos for spondylolisthesis if there's LBP with ipsilat leg on ground
Hautant's test is for what
differentiates vascular vs vestibular causes for dizziness
how to do Hautant's test
- 1) sitting, arms at 90 w palms up. close eyes and hold 30 sec
- 2) repeat with head ext and R then L rot, holding each 30 sec
- if arms lose position in the the first it may be vestibular
- if only in the second, vascular