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FM/UOJ Coordination of Movement Upper limb: Ask the patient to touch the tip of his/her nose and then your finger. Then ask the patient to repeat it with eyes closed. Look for past pointing and shaky movement. Ask the patient to tap on the table rapidly. Look for inability to perform rapid repeated movements (dysdiadochokinesia). Lower limb: Ask the patient to walk on a straight line. Get the patient to a bed and ask to raise one leg in air, place the heel on the knee of the other leg and slide towards the ankle. Exercise: describe the changes expected in upper motor and lower motor lesions, cerebella lesions and basal ganglia lesions. ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… Neurology Page | 139
FM/UOJ Reflexes Reflexes have sensory and motor components. Reflexes are divided into two categories based on the type of sensation. 1. Superficial reflexes: These are responses to sensations in the skin. 1.1. The planter reflexes: Get the patient relaxed on a bed and stroke the outer edge of the sole of the foot, from heel towards the little toe, with a blunt instrument such as a key. In normal person planter flexion of the toes is seen (contraction of tensor fascia lata). Stronger stimulus produces dorsiflexion at the ankle and even withdrawn of the limb. In pyramidal tract lesions the toes fan out and dorsiflex. This is positive Babinski response. This response with dorsiflexion of the ankle and flexion of the knee resembles withdrawal reflex to noxious stimulation. Exercise: what changes occur in lesions? ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… 1.2. Abdominal reflex: The patient is on bed with abdomen uncovered. General stroke of the abdominal skin towards midline causes contraction of the underlying muscles and manifests by pulling the umbilicus towards the stimulated area. This reflex is absent in upper motor neuron lesion. Exercise: what changes occur in lesions? ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… Neurology Page | 140
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MANUAL FOR PHYSIOLOGY PRACTICAL 201
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Experiment R3 .....................
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This manual has been developed by t
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FM/UOJ Introduction Page | 2
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FM/UOJ AIMS OF THE PHYSIOLOGY PRACT
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FM/UOJ THE FORM OF RECORDING An acc
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FM/UOJ Measurement of the body surf
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FM/UOJ 05. Measurement of Body Mass
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FM/UOJ Name [males] Height (cm) Wei
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FM/UOJ Experiment 2 OSMOTIC FRAGILI
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FM/UOJ Introductory Page | 16
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FM/UOJ Blood Page | 18
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FM/UOJ Venipuncture Venous blood ca
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FM/UOJ d) Describe the use of ESR i
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FM/UOJ Explain why the red and whit
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FM/UOJ Discussion: a. Describe the
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FM/UOJ Method: Take some diluting f
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FM/UOJ Explain the possible errors
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FM/UOJ Calculation: The volume of t
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FM/UOJ Experiment 6a MEASUREMENT OF
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FM/UOJ 22 23 24 25 26 27 28 29 30 M
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FM/UOJ Name[Males] RBC PCV MCH MCHC
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FM/UOJ Discussion: ……………
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FM/UOJ Make a finger puncture and f
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FM/UOJ Experiment 8 IDENTIFICATION
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FM/UOJ Keep the cells under focus (
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FM/UOJ Precautions: ……………
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FM/UOJ Experiment 9 BLOOD GROUPING
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FM/UOJ Discussion: Explain the need
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FM/UOJ Respiration Page | 54
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FM/UOJ The reading can be taken up
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FM/UOJ Observations Stick the photo
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FM/UOJ ----------------------------
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FM/UOJ [Demonstration by Biopack sy
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FM/UOJ Name (female) Predicted TLC
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FM/UOJ Experiment R3 CHEMICAL CONTR
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FM/UOJ d. Explain the danger in thi
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FM/UOJ Changes in breath holding ti
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FM/UOJ Observation Subject during e
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FM/UOJ Experiment R5 LUNG FUNCTION
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FM/UOJ Several added sounds can be
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FM/UOJ Exercise Explain their signi
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FM/UOJ Circulation Page | 80
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FM/UOJ bellows to expand and collap
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FM/UOJ Observation: Stick the ECG t
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FM/UOJ diastolic pressures, the art
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Page 103 and 104: FM/UOJ The mass of the tissue in th
Page 105 and 106: FM/UOJ Experiment C 6 EFFECTS OF EX
Page 107 and 108: FM/UOJ Name (Female) After Exercise
Page 109 and 110: FM/UOJ Experiment C 7 EXAMINATION O
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Page 121 and 122: FM/UOJ Group Name Sex Urine F G Mal
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Page 125 and 126: FM/UOJ Metabolism & Temperature Pag
Page 127 and 128: FM/UOJ Observation Stick photocopy
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Page 133 and 134: FM/UOJ Calculation Calculate the me
Page 135 and 136: FM/UOJ Reproductive Physiology Repr
Page 137 and 138: FM/UOJ EXPERIMENT R1 DETERMINATION
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Page 143: FM/UOJ Pain sense Superficial pain
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Page 149 and 150: FM/UOJ Experiment N2 EXAMINATION OF
Page 151 and 152: FM/UOJ Experiment 2.3 Measuring the
Page 153 and 154: FM/UOJ Test for near vision: Jaeger
Page 155 and 156: FM/UOJ Light reflex: Ask the subjec
Page 157 and 158: FM/UOJ Audiometry Audiometer is an
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