BIOL 4376 Study Guide - Final Guide: Carpal Tunnel Syndrome, Carpal Tunnel, Muscle Tone
29 Jul 2020
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Assess patient"s ability to detect different stimuli (pain, light touch, vibratory sensation) Ask patient to close his/her eyes; start distally and work proximally, comparing left/right sides of body. Ask patient to identify when and where he/she is touched using: Pain (sharp objects - blund end of a q-tip) Vibration (vibrating tuning fork over a bone) Normal finding: sensory function: light touch, pain, vibration intact . Carpal tunnel syndrome: compression of median nerve within the carpal tunnel. Sensory impairment occurs in the first 3 digits and some of the 4th digit; pain may be felt in the palm, anterior wrist, forearm, and proximally to the shoulder. Causes: obesity, pregnancy, workplace factors (i. e. repetitive hand and wrist se, sustained wrist pressure) Peripheral neuropathy (polyneuropathy): symmetrical damage to peripheral nerves. Causes: diabetes mellitus, drug-induced from neurotoxic medications (i. e. cisplatin, vincristine) Also looking for any ulcers on the feet. Asterixis (aka liver flap ) caused by hepatic encephalopathy.
