Nerve Pathology Part 2 Flashcards Preview

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Flashcards in Nerve Pathology Part 2 Deck (28)
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1
Q

L5-S1 disc rupture is 86% probable if what 3 S1 signs are found?

A
  1. Pain Projection to S1 area
  2. Pathologic Achilles Reflex
  3. Sensory Defect in S1 area
2
Q

What is found with ALL lumbar disc lesions?

A

Pain Projection into S1 area

3
Q

L4-L5 disc rupture 87% probably with what 3 L5 signs?

A
  1. Extensor hallucis weakness
  2. Pain Projection into L5 area
  3. Sensory Defect of L5
4
Q

What was 100% reliable for L4-L5 herniation?

A

Extensor Hallicus Weakness

Sensory Defect in L5 Area

5
Q

What syndromes affect the brachial plexus?

A

Stinger
Thoracic Outlet Syndrome
Parsonage-Turner Syndrome

6
Q

What disease has a sudden onset of arm pain and weakness following a lateral flexion injury of neck away from arm?

A

Burner/Stingers

7
Q

Burners/Stingers is what type of injury?

A

Brachial Plexus

8
Q

How do you evaluate Burner/Stingers?

A
  1. Shoulder Abduction, External Rotation and Flexion are weak.
  2. C-Spine Radiographs
  3. EMG
9
Q

What is the path taken by neuromuscular structures from neck to arm?

A

Outlet

10
Q

With thoracic outlet syndrome what are the sites of compression?

A

Cervical Ribs
Costoclavicular Interval
Subcoracoid Loop

11
Q

When thoracic outlet syndrome is present it most often involves?

A

Lower Brachial Plexus (C8-T1) with medial arm complaints

12
Q

What is the specific age associated with brachial neuritis?

A

20’s-30’s

13
Q

Brachial Neuritis can be due to recent?

A

Immunization
Infection
Radiation

14
Q

Brachial Neuritis can have what type of nerve involvement?

A

Single or Multiple Peripheral N

15
Q

With brachial neuritis initially there is no?

A

Neuro signs

16
Q

Brachial Neuritis may show what sign?

A

Fever

17
Q

How do you categorize diseases?

A
H: Histology
E: Etiology
A: Anatomic
T: Time
P: Presentation
18
Q

What are some causes of neuropathy?

A
Idiopathic
Metabolic
Infectious
Vascular
Neoplastic
Drug-Induced
Toxic
Hereditary
Entrapment
19
Q

Whats an example of idiopathic neuropathy?

A

Guillain-Barre

20
Q

What is an example of metabolic neuropathy?

A
Diabetes
Uremic
Liver Disease
B12
Hypothyroidism
21
Q

What are examples of infectious neuropathy?

A

AIDS
Leprosy
Diphtheria
Sarcoidosis

22
Q

What are examples of vascular neuropathy?

A

Polyarteritis Nodosa
RA
SLE

23
Q

What are examples of neoplastic neuropathy?

A

Compression
Paraneoplastic
Paraproteinemias
Amyloidosis

24
Q

What are examples of drug induced neuropathy?

A

Alcohol

Drugs

25
Q

What are examples of toxic neuropathy?

A

Organophosphates
Heavy Metals
Tryptophan

26
Q

What are examples of hereditary neuropathy?

A

Idiopathic

Metabolic

27
Q

Polyneuropathy involves?

A

Multiple Structures in the body

28
Q

Mononeuropathy multiplex can cause what?

A

Lead Toxicity

Multifocal Motor Neuropathy