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symptoms of anterior cord syndrome
- loss of motor function, pain, temp
- preservation of light touch and position sense
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symptoms of central cord syndrome
- loss of UE function
- preservation of LE function
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symptoms of sacral sparing
preservation of perianal sensation and active toe flexion
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Brown-Sequard presentation
- on side of lesion: weakness, loss of position sense, loss of vibration sense
- on contralat side: loss of pain and temp
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stork test identifies __
spondylolisthesis
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froment's sign
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)
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albuterol - for what? side effects?
- bronchodilator
- tremor, anxiety, nervousness, weakness
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falls risk and nitroglycerin?
yes, even with small doses
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signs of brainstem dysfunction affecting extramyramidal pathways
invol mvmnts
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signs of pyramidal or cortical dysfunction
UMNL stuff - hypertonicity, hyperreflexia, generalized paresis, variable disuse atrophy
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lumbar quadrant test ids what?
lumbar facet dysfunction
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valsalva's maneuver identifies what?
space occupying lesion (tumor, disc herniation, etc)
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bicycle (van Glederen's) test
put pt on a a bike to differentiate btwn spinal stenosis and intermittent vascular claudication
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fluent aphasia
Wernicke's
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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
sensory
-
test for calcaneofibular lig
talar tilt
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Thompson's test is for what?
intgrity of achilles tendon
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Morton's test is for what?
presence of stress fracture or neuroma in foot
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how to do Thompson test
- prone, foot off edge of table
- squeeze the calf and see if there's PF
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how to do Morton's test
- supine, foot supported on table
- grasp around metatarsal heads and squeeze
- pos: pain in forefoot
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Stork test
- SLS and do trunk ext
- pos for spondylolisthesis if there's LBP with ipsilat leg on ground
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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
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