logging in or signing up Quiz 25 on Reflexes draswinikumars Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 434 Category: Education License: All Rights Reserved Like it (2) Dislike it (0) Added: August 18, 2009 This Presentation is Public Favorites: 1 Presentation Description This is a power point quiz program presenting 25 different neurological cases, the clinical findings, reflex patterns and suggesting the possible diagnosis Comments Posting comment... By: dr0100 (18 month(s) ago) thanks alot 4 u Saving..... Post Reply Close Saving..... Edit Comment Close By: drharmeet (19 month(s) ago) realy interesting... thankx.. Saving..... Post Reply Close Saving..... Edit Comment Close By: drnandalal (25 month(s) ago) Hi This is very interesting and informative. Could you pls provide a copy . With regards Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript Reflex Quiz - Theme : Reflex Quiz - Theme Dr. Aswini Kumar. MD Professor of Medicine Medical College Hospital Thiruvananthapuram 1. Normal : 1. Normal . Additional Points: Patient Conscious Higher Functions N Cranial Nerves Normal Tone Normal No Motor Deficits No Sensory Deficits No Cerebellar signs No Meningeal Signs 2. Right Hemiplegia Neuronal Shock : 2. Right Hemiplegia Neuronal Shock . Additional Points: Patient Conscious Motor Aphasia UMN Facial [Right] Hypotonia [Right] Grade 0 power [Right] No Sensory Deficits No Cerebellar signs No Meningeal Signs 3. Left HemiplegiaPost shock : 3. Left HemiplegiaPost shock . Additional Points: Patient Conscious Higher Functions N Left UMN Facial Clasp Knife [Left] Grade 2 [Left] No Sensory Deficits No Cerebellar signs No Meningeal Signs 4. Right Hemiplegia1 Year Old : 4. Right Hemiplegia1 Year Old . Additional Points: Patient Conscious Higher Functions N UMN Facial [Right] Tone [Right] Contractures [Right] Power Grade 3 [Right] Patellar Clonus [Right] Ankle Clonus [Right] 5. Pseudo-bulbarPalsy : 5. Pseudo-bulbarPalsy . Additional Points: Patient Conscious Emotional Incontinence Exaggerated Gag reflex Hypertonia B/L Variable weakness Primitive Reflexes + No Cerebellar signs No Meningeal Signs 6. Parkinson’s Disease : 6. Parkinson’s Disease . Additional Points: Patient Conscious Expressionless face Cranial Nerves Normal Cog wheel rigidity Generalized Hypokinesia Glabellar Tap Resting tremor No Meningeal Signs 7. Lateral Medullary Syndrome [Left] : 7. Lateral Medullary Syndrome [Left] . Additional Points: Patient Conscious Vertigo and ataxia Vomiting and hiccups Horner’s Syndrome[Left] IX & X palsy [Left] Pain & Temp lost Lt face Pain & Temp lost Rt body Cerebellar signs [Left] 8. QuadriplegiaC3 Level : 8. QuadriplegiaC3 Level . Additional Points: Patient Conscious Respiratory distress Weakness all 4 limbs Hypertonia Bilateral Distal > proximal weakness Total sensory loss below C3 Pectoral&Trapezius Jerk+++ UMN Bladder 9. Right C5Radiculomyelopathy : 9. Right C5Radiculomyelopathy . Additional Points: Patient Conscious Higher Functions N Cranial Nerves Normal Hypertonia Lower limbs Shoulder abduction Elbow flexion Sensory loss along C5 C6 UMN Bladder 10. Cauda EquinaSyndrome : 10. Cauda EquinaSyndrome . Additional Points: Patient Conscious Higher Functions N Asymmetric Wasting of LL Hypotonia both LL Weakness below L3 Patchy sensory loss below L3 No Cerebellar signs Late Bladder involvement 11.SyringomyeliaC-8,T-1 Level : 11.SyringomyeliaC-8,T-1 Level . Additional Points: Patient Conscious Higher Functions N Cranial Nerves Normal Hypotonia distally both ULs Small muscle wasting ULs Handgrip weakness B/L Suspended sensory loss C8T1 Sensory Dissociation 12. ParaplegiaL-1 Level - Shock : 12. ParaplegiaL-1 Level - Shock . Additional Points: Patient Conscious Higher Functions N Cranial Nerves Normal Hypotonia LLs Power grade 0 both LL Total sensory loss below L1 No Cerebellar signs UMN Bladder 13. ParaplegiaT-10 Level : 13. ParaplegiaT-10 Level . Additional Points: Patient Conscious Higher Functions N Cranial Nerves Normal Hypertonia both LLs Grade 0 both LLs Beevor’s sign + Sensory level at Umbilicus UMN Bladder 14.Amyotrophic Lateral Sclerosis : 14.Amyotrophic Lateral Sclerosis . Additional Points: Patient Conscious Higher Functions N Wasting hands & calf Tone Increased B/L Variable Weakness No Sensory Deficits Fasciculations present No bladder involvement 15. Gullian BarreSyndrome : 15. Gullian BarreSyndrome . Additional Points: Patient Conscious Higher Functions N Acute Ascending paralysis Markedly reduced tone No Sensory Deficits Single Breath Count < 20 Bilateral LMN Facial No Bladder involvement 16.Peripheral Neuropathy : 16.Peripheral Neuropathy . Additional Points: Patient Conscious Higher Functions N Cranial Nerves Normal Tone Normal Distal weakness UL & LL Glove & Stocking sensory No Cerebellar signs No Meningeal Signs 17. MyastheniaGravis : 17. MyastheniaGravis . Additional Points: Patient Conscious Higher Functions N Bilateral Partial Ptosis Tone Normal Fatigability No Sensory Deficits No Cerebellar signs No Meningeal Signs 18.Right T11 Brown- Sequard : 18.Right T11 Brown- Sequard . Additional Points: Patient Conscious Higher Functions N Right lower limb grade 2 Tone reduced right LL Pain and temp lost left LL Vibration and joint position lost right LL Right T11 hyperaesthesia 19.Friedrichs ataxia : 19.Friedrichs ataxia . Additional Points: Symptomatic before 20 years Higher Functions N Pes cavus, kyphoscoliosis H/o ataxia in family Power grade 4 all limbs Ataxia Vibration, joint position impaired distally 20. Subacute combined degeneration of spinal cord : . Additional Points: Patient Conscious Higher Functions irritable Optic atrophy Grade 4 power all 4 limbs Loss of vibration and joint position sense Megaloblastic anemia in peripheral smear 20. Subacute combined degeneration of spinal cord 21.Facioscapulo humeral dystrophy : 21.Facioscapulo humeral dystrophy . Additional Points: Facial weakness, shoulder girdle weakness,winging of scapula,deltoid preserved, pseudohypertrophy present Tone reduced Wrist extensors grade 2, flexors grade 3 No Sensory Deficits No Cerebellar signs No Meningeal Signs 22. Cerebral palsy : 22. Cerebral palsy . Additional Points: H/O hypoxia at the time of birth Non progressive weakness of LL more than UL Tone Increased Scissoring gait No Sensory Deficits 23. CIDP : 23. CIDP . Additional Points: Chronic history Relapsing remitting Patient Conscious Higher Functions N Proximal and distal weakness Tone reduced Sensory loss distally 24. Anterior spinal artery occlusion : 24. Anterior spinal artery occlusion . Additional Points: Hyper acute onset Patient Conscious Higher Functions N Hypotonia both LL Grade 0 power LL Pain and temperature lost both LL Vibration and joint position preserved 25. Myotonic dystrophy : 25. Myotonic dystrophy . Additional Points: Patient Conscious Frontal balding Bilateral Partial Ptosis Hatchet facies Testicular atrophy Grade 4 power proximally and grade 2 distally Myotonia No Sensory Deficits You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Quiz 25 on Reflexes draswinikumars Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 434 Category: Education License: All Rights Reserved Like it (2) Dislike it (0) Added: August 18, 2009 This Presentation is Public Favorites: 1 Presentation Description This is a power point quiz program presenting 25 different neurological cases, the clinical findings, reflex patterns and suggesting the possible diagnosis Comments Posting comment... By: dr0100 (18 month(s) ago) thanks alot 4 u Saving..... Post Reply Close Saving..... Edit Comment Close By: drharmeet (19 month(s) ago) realy interesting... thankx.. Saving..... Post Reply Close Saving..... Edit Comment Close By: drnandalal (25 month(s) ago) Hi This is very interesting and informative. Could you pls provide a copy . With regards Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript Reflex Quiz - Theme : Reflex Quiz - Theme Dr. Aswini Kumar. MD Professor of Medicine Medical College Hospital Thiruvananthapuram 1. Normal : 1. Normal . Additional Points: Patient Conscious Higher Functions N Cranial Nerves Normal Tone Normal No Motor Deficits No Sensory Deficits No Cerebellar signs No Meningeal Signs 2. Right Hemiplegia Neuronal Shock : 2. Right Hemiplegia Neuronal Shock . Additional Points: Patient Conscious Motor Aphasia UMN Facial [Right] Hypotonia [Right] Grade 0 power [Right] No Sensory Deficits No Cerebellar signs No Meningeal Signs 3. Left HemiplegiaPost shock : 3. Left HemiplegiaPost shock . Additional Points: Patient Conscious Higher Functions N Left UMN Facial Clasp Knife [Left] Grade 2 [Left] No Sensory Deficits No Cerebellar signs No Meningeal Signs 4. Right Hemiplegia1 Year Old : 4. Right Hemiplegia1 Year Old . Additional Points: Patient Conscious Higher Functions N UMN Facial [Right] Tone [Right] Contractures [Right] Power Grade 3 [Right] Patellar Clonus [Right] Ankle Clonus [Right] 5. Pseudo-bulbarPalsy : 5. Pseudo-bulbarPalsy . Additional Points: Patient Conscious Emotional Incontinence Exaggerated Gag reflex Hypertonia B/L Variable weakness Primitive Reflexes + No Cerebellar signs No Meningeal Signs 6. Parkinson’s Disease : 6. Parkinson’s Disease . Additional Points: Patient Conscious Expressionless face Cranial Nerves Normal Cog wheel rigidity Generalized Hypokinesia Glabellar Tap Resting tremor No Meningeal Signs 7. Lateral Medullary Syndrome [Left] : 7. Lateral Medullary Syndrome [Left] . Additional Points: Patient Conscious Vertigo and ataxia Vomiting and hiccups Horner’s Syndrome[Left] IX & X palsy [Left] Pain & Temp lost Lt face Pain & Temp lost Rt body Cerebellar signs [Left] 8. QuadriplegiaC3 Level : 8. QuadriplegiaC3 Level . Additional Points: Patient Conscious Respiratory distress Weakness all 4 limbs Hypertonia Bilateral Distal > proximal weakness Total sensory loss below C3 Pectoral&Trapezius Jerk+++ UMN Bladder 9. Right C5Radiculomyelopathy : 9. Right C5Radiculomyelopathy . Additional Points: Patient Conscious Higher Functions N Cranial Nerves Normal Hypertonia Lower limbs Shoulder abduction Elbow flexion Sensory loss along C5 C6 UMN Bladder 10. Cauda EquinaSyndrome : 10. Cauda EquinaSyndrome . Additional Points: Patient Conscious Higher Functions N Asymmetric Wasting of LL Hypotonia both LL Weakness below L3 Patchy sensory loss below L3 No Cerebellar signs Late Bladder involvement 11.SyringomyeliaC-8,T-1 Level : 11.SyringomyeliaC-8,T-1 Level . Additional Points: Patient Conscious Higher Functions N Cranial Nerves Normal Hypotonia distally both ULs Small muscle wasting ULs Handgrip weakness B/L Suspended sensory loss C8T1 Sensory Dissociation 12. ParaplegiaL-1 Level - Shock : 12. ParaplegiaL-1 Level - Shock . Additional Points: Patient Conscious Higher Functions N Cranial Nerves Normal Hypotonia LLs Power grade 0 both LL Total sensory loss below L1 No Cerebellar signs UMN Bladder 13. ParaplegiaT-10 Level : 13. ParaplegiaT-10 Level . Additional Points: Patient Conscious Higher Functions N Cranial Nerves Normal Hypertonia both LLs Grade 0 both LLs Beevor’s sign + Sensory level at Umbilicus UMN Bladder 14.Amyotrophic Lateral Sclerosis : 14.Amyotrophic Lateral Sclerosis . Additional Points: Patient Conscious Higher Functions N Wasting hands & calf Tone Increased B/L Variable Weakness No Sensory Deficits Fasciculations present No bladder involvement 15. Gullian BarreSyndrome : 15. Gullian BarreSyndrome . Additional Points: Patient Conscious Higher Functions N Acute Ascending paralysis Markedly reduced tone No Sensory Deficits Single Breath Count < 20 Bilateral LMN Facial No Bladder involvement 16.Peripheral Neuropathy : 16.Peripheral Neuropathy . Additional Points: Patient Conscious Higher Functions N Cranial Nerves Normal Tone Normal Distal weakness UL & LL Glove & Stocking sensory No Cerebellar signs No Meningeal Signs 17. MyastheniaGravis : 17. MyastheniaGravis . Additional Points: Patient Conscious Higher Functions N Bilateral Partial Ptosis Tone Normal Fatigability No Sensory Deficits No Cerebellar signs No Meningeal Signs 18.Right T11 Brown- Sequard : 18.Right T11 Brown- Sequard . Additional Points: Patient Conscious Higher Functions N Right lower limb grade 2 Tone reduced right LL Pain and temp lost left LL Vibration and joint position lost right LL Right T11 hyperaesthesia 19.Friedrichs ataxia : 19.Friedrichs ataxia . Additional Points: Symptomatic before 20 years Higher Functions N Pes cavus, kyphoscoliosis H/o ataxia in family Power grade 4 all limbs Ataxia Vibration, joint position impaired distally 20. Subacute combined degeneration of spinal cord : . Additional Points: Patient Conscious Higher Functions irritable Optic atrophy Grade 4 power all 4 limbs Loss of vibration and joint position sense Megaloblastic anemia in peripheral smear 20. Subacute combined degeneration of spinal cord 21.Facioscapulo humeral dystrophy : 21.Facioscapulo humeral dystrophy . Additional Points: Facial weakness, shoulder girdle weakness,winging of scapula,deltoid preserved, pseudohypertrophy present Tone reduced Wrist extensors grade 2, flexors grade 3 No Sensory Deficits No Cerebellar signs No Meningeal Signs 22. Cerebral palsy : 22. Cerebral palsy . Additional Points: H/O hypoxia at the time of birth Non progressive weakness of LL more than UL Tone Increased Scissoring gait No Sensory Deficits 23. CIDP : 23. CIDP . Additional Points: Chronic history Relapsing remitting Patient Conscious Higher Functions N Proximal and distal weakness Tone reduced Sensory loss distally 24. Anterior spinal artery occlusion : 24. Anterior spinal artery occlusion . Additional Points: Hyper acute onset Patient Conscious Higher Functions N Hypotonia both LL Grade 0 power LL Pain and temperature lost both LL Vibration and joint position preserved 25. Myotonic dystrophy : 25. Myotonic dystrophy . Additional Points: Patient Conscious Frontal balding Bilateral Partial Ptosis Hatchet facies Testicular atrophy Grade 4 power proximally and grade 2 distally Myotonia No Sensory Deficits