Académique Documents
Professionnel Documents
Culture Documents
I. Anatomic Considerations
II.
The
Sensory
Syndromes
A.
B.
C.
D.
E.
A.
B.
C.
History-taking
Techniques
of
Examination
Final
Reminders
III.
Approach
to
the
Patient
with
Sensory
Loss
Pain
Light
touch
Temperature
Warmth
and
cold
Vibration
sense
Position
sense
Deep
pressure
Receptor
Peripheral
Nerve
Spinal
Root
Encapsulated receptors
Non-encapsulated
receptors
Merkels
disk
-
pressure
Insert
pic
of
dermatomes
Dermatomes
represent
the
surface
innervation
of
the
sensory
nerve
roots.
C3
front
of
neck
C6
thumb
C7
middle
nger
C8
little
nger
T4
nipples
T6
xiphoid
process
T10
umbilicus
L1-
bikini
line
L4
knee,
big
toe
L5
Shin
S1
little
toe
S2-
s3
-
genitalia
Back:
C2
back
of
the
head
C5
tip
of
shoulder
S2-S5
buttocks
symmetrical.
be lost.
1.
2.
3.
4.
5.
ipsilateral side
CTLS
aected.
Namamanhid
ang
_____
ko.
noted
Alloesthesia
Analgesia
Dysesthesias
Hypalgesia
Vibration sense
Paresthesias
Symmetry
of
symptoms
Any
bowel,
bladder,
or
sexual
dysfunction
Any
history
of
underlying
systemic
disease
Any
weight
loss
Drinking
habits
Smoking
history
Any
history
to
suggest
toxin
exposure,
vocational,
or
recreational
Dietary
history
Medication
history,
including
vitamins
Family
history
of
similar
symptoms
Family
history
of
diabetes,
pernicious
anemia
or
peripheral
neuropathy
A.
Tools
1.
Pin
2.
Wisp of cotton
3.
4. Testing proprioception
50%
100
%
sensory
decit
to
pain,
t e m p e r a t u r e
and
light
touch
f r o m
T 1 0
downwards
C.
Final
reminders
The
sensory
examination
is
dicult
and
tedious.
The
patient
should
be
alert
and
attentive,
full
cooperation
is
necessary.
Objective
evidences:
withdrawal
of
the
part
stimulated,
wincing,
blinking,
and
changes
in
countenance;
pupillary
dilation,
tachycardia
and
perspiration
may
accompany
painful
stimulation.
Thank you.