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Write about Arm Exam here.
Observe:
- Face
- hemiplegia
- nystagmus
- wasting
- Parkinson's
- Horner's
- Neck
- Pseudoxanthoma elasticum
- lymph nodes
- Elbows
- Psoriasis
- Rheumatoid nodules
- Scars
- Deformity
- Tremor
- Hands (nails, joints, skin)
- Muscle bulk
- Fasciculation
Test:
- Tone
- Arms out in front
- winging
- myelopathy hand sign (passive abduction of little finger
- sensory wandering
- Power
- Arms out to the side - C5 deltoid
- Bend your elbows - C5,6 biceps
- Push out straight - C7 triceps
- Squeeze my fingers - C8, T1
- Hold fingers out straight - C7, Radial nerve
- Spread fingers apart - Ulnar nerve (DAB)
- Piece of paper between fingers - Ulnar nerve (PAD)
- Thumb at ceiling - Median nerve
- Opposition - Median nerve
- Co-ordination
- Rapid alternate motion
- finger -> nose
- Reflexes
- Biceps (C5,6)
- Triceps (C7,8)
- Supinator (C5,6)
- Finger (C8)
- Sensation
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