Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

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Abdominal skin reflex (exteroceptive)Brisk stroking of skin ofabdominal wall in lateromedial directionShift of skin of abdomen anddisplacement of umbilicus Muscles of abdominal wall Intercostal,hypogastric and illoinguinal T7, T12Cremasteric reflex (exteroceptive)Stroking skin on medialaspect of thigh (pinching adductor muscles) Elevation of testisCremaster Genital branch of genitofemoral L2, L3Adductor reflex Tap on medial condyle of femur Adductionof leg Adductors of thigh Obturator L2, L3, L4Knee jerk Tap on tendon of quadriceps femoris below patella Extension atknee Quadriceps femoris Femoral (L2), L3, L4Gluteal reflex (exteroceptive) Stroking skin over gluteal region Tightening ofbuttock(inconstant)Gluteus medius and gluteus maximusSuperior and inferior gluteal L4, L5, S1Posterior tibial reflexTap on tendon of tibialis posterior behindmedial malleolus Supination of foot (inconstant) Tibialis posterior TibialL5Semi-membranosus and semi-tendinosus reflex Tap on medial hamstringtendons (patient prone and knee slightly flexed) Contraction of semimembranosusand semitendin-osusSemi-membranosus andsemitendin-osus Sciatic S1Biceps femoris reflexTap on lateral hamstring tendon (patient proneand knee slightly flexed) Contraction of biceps femoris Bicepsfemoris Sciatic S1, S2Ankle jerk Tap on Achilles tendon Plantar flexion of footTriceps surae (and other flexors of foot) Tibial S1,S2Bulbocavernosus reflex (exteroceptive)Gentle squeezing of glanspenis or pinching of skin of dorsum of penis Contraction of thebulbocavernosus muscle, palpable at root of penis BulbocavernosusPudendal S3, S4Anal reflex (exteroceptive) Scratch or prick of perianal skin (patient lyingon side) Visible contraction of anus Sphincter ani extemusPudendal S5Somatovisceral sensitivityTypes of somatovisceral sensitivity, localization and basic somatovisceral sensorsSTOMATOVISCERAL SENSITIVITY
STOMATIC SENSITIVITYSuperficial Deepsensations sensationsVISCERAL SENSITIVITYSkin, hairy andSkeletal muscles,Viscera, e.g. stomach,bowels,hairless tendons, joints liver, lungs, heartTYPE OF SENSOREXAMPLES OF RELEVANT STIMULIMechanical sensor Pressure, touch, vibration, tension, stretchThermal sensor Cooling, heatingChemical sensorNociceptive sensorMetabolites, pH, pCO2, pO2, glucoseTissue damage, heat, compressionTypical sensory disorders with lesions of different locationsTouch Pain Temperature Vibration PositionSense Symptoms of irritationSensory cortexParaesthesiaeThalamusHyperpathiaBrain stemHyperpathiaSpinothalamic tractsNoabnormality No abnormality (Cold) thermal paraesthesiaePosterior columnsNo abnormality No abnormalityParaesthesiae hyperpathiaPosterior rootsSegmental painsPeripheral nerveParaesthesiae, causalgia
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NeurologyEdited by Professor Emerit
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That I only found when studying Wil
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fig. 2: origins and distribution of
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Vasodilatation - ØIntestineslongit
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those two modes, its contact with t
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epressive sexual education/impaired
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"The vegetative“ (autonomic) "ner
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4.1. TechniqueOver the years, lots
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medication which either only battle
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the ANS' level, stress means sympat
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In therapy, we work from the tensio
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Naturally, besides the intensive tr
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neck furthermore intercepts the flo
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Robert A. Dew puts asthma down to t
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Looking at the vernacular gives the
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5.5. Peptic Ulcer5.5.1. Pulsation o
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appears "openly dependent" or, if c
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During the resolution of the blocks
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Heike S. Buhl M.D., born 1955. Trai
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TitleDiagnosing and Treating Injure
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ody electrolyte strength will gener
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As presented, the peak of the first
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This situation has an important imp
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fibers. Sequential action potential
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and active tissue under electrode B
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Action potentials of injured cardia
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a nearby electrode and a distant re
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The distances between the poles of
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ecorded simultaneously the membrane
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When there are conditions of hypoad
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Trauma and injuries are a natural a
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BOOKS1. An Advanced Treatise in Qua
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One of the easiest ways to learn ab
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HOMEOPATHIC TREATMENT OF PAINAbstra
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DESCRIPTION: PAIN - HEAT IMPROVESNU
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BEFOREAFTER4321OOOOOOOOXXXXXXXX0Avg
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tissues to bring about a lowering i
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CAUSES OF HEADACHE PAIN (Vindicate)
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ARTICLES AND STUDIES1. A Practical
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impairment or "disability" evaluati
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criteria:The third step is the comp
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5. Estimate of the expected date of
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ImpairmentThe Extremities, Spine, a
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3. Explanation for concluding that
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3.1b Principles and Methods of Impa
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The range of motion should be recor
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IA is a function of V when Vext = V
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Interphalangeal Joint-Flexion and E
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Example: Thumb metacarpophalangeal
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Note: Because the relative value of
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Determine the length of the finger
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position (0 cm) to: Lost Retained o
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If the metacarpophalangeal joint is
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40 of ring finger 450 of little fin
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Joint-Radial and Ulnar DeviationMea
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Flexion IA%=21%Lateral deviation IA
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extremity.Flexion and ExtensionMeas
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the upper extremity, and 15% impair
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Add the impairment values for flexi
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Internal and External RotationMeasu
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shoulder motions (flexion/ extensio
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The peripheral spinal nerves consti
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obtained history, a thorough medica
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Example: In an injury, a patient su
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associated with those particular ne
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Ulnar or Radial Deviation%Digit Imp
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Joint Instability% Joint Impairment
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Example: Implant resection arthropl
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Intrinsic tightness in the hand may
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Extensor TendonSubluxation Severity
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With the patient plantar-flexing th
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0° 30° 0° 4510° 20° 10° 3020
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Center the goniometer over the meta
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Example: If 50% of the distal phala
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of the toe being tested (Figure 61c
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Center the goniometer over the late
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Inversion and Eversion (Subtalar Jo
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10° active dorsi-flexion 410° act
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Place the goniometer base as if mea
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Add the impairment values contribut
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Place the goniometer base as if mea
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Hip Joint-Two or More Ranges of Mot
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3.2f Impairment of the Lower Extrem
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In evaluating pain that is associat
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After the individual values for los
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value for loss of function = 15%) 1
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Principles for Calculating Impairme
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motion or ankylosis.B. Repeat the a
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is the greatest angle measured.5. C
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Example: Occipital flexion measurem
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possible, again recording both incl
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Cervical Region-RotationBecause the
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minimum kyphosis is actually a meas
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2. With the subject in either the s
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1. The subject may be seated or sta
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3.3) Ask the subject to rotate the
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3.3e Impairments Due to Range of Mo
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(for automated devices capable of c
Page 198 and 199: Example: T12 flexion measurements o
Page 200 and 201: 3. Record the "0" readings first at
Page 202 and 203: 3.4 The PelvisThe following shows i
Page 204 and 205: Addendum to Chapter 3A. Introductio
Page 206 and 207: 1. If applicable, use Table 49 (p.
Page 208 and 209: B. Repeat the above steps for secon
Page 210 and 211: 2. Consult the Ankylosis Section of
Page 212 and 213: impairment of the whole person.Exam
Page 214 and 215: Ankylosis1. Place the goniometer ba
Page 216 and 217: 6. Add the impairment values contri
Page 218 and 219: FINAL IMPAIRMENT RATING FOR WHOLE M
Page 220 and 221: Combined value of spinal impairment
Page 222 and 223: There is a neutral or relaxed perio
Page 224 and 225: SPHENOBASILAR/CRANIAL BASE TORSIONT
Page 226 and 227: IMPAIRMENT OF THE NERVOUS SYSTEMThe
Page 228 and 229: upper extremities, controlling blad
Page 230 and 231: 2. Neurological disorder results in
Page 232 and 233: 4) Neurological: Grades = 5=normal
Page 234 and 235: 4) Neurological:Sensation: (right/l
Page 236 and 237: technique on the part of the physic
Page 238 and 239: Direct TechniqueWith the patient co
Page 240 and 241: CONTRAINDICATIONSThe only contraind
Page 242 and 243: In order to determine the presence
Page 244 and 245: IX Glosso- pharyngealPharynx muscle
Page 246 and 247: ReflexesMuscle stretch reflexes, cu
Page 250 and 251: Sensory symptomsPersistant or episo
Page 252 and 253: Pyramidal tract signsEponym Manoeuv
Page 254 and 255: doubts of survival7. Psychotic symp
Page 256 and 257: · Foramen jugulare syndrome (Siebe
Page 258: For cranial nerve stimulation the c
Page 261 and 262: Demonstration of specific antibodie
Page 263 and 264: 4.6.2 Explosive type4.6.3 Postural
Page 265 and 266: 8.4.2 Caffeine withdrawal headache8
Page 267 and 268: Headache: differential diagnosisDes
Page 269 and 270: Diagnostic criteria of drug-induced
Page 271 and 272: convexity), glioblastoma, oligodend
Page 273 and 274: Hypothalamic regulatory hormonesHyp
Page 275 and 276: 0 = normal1 = stride down to 30-45
Page 277 and 278: Parkinsonism: causesAetiology or Pa
Page 279 and 280: Paradoxical hyperkinesiaSudden good
Page 281 and 282: Meige syndrome(bilateral facial spa
Page 283 and 284: ThalamotomyScale for quantification
Page 285 and 286: Eating10 = independent (with aids)5
Page 287 and 288: InfectionsMeningitisOtitis media, m
Page 289 and 290: OculomotorDependent on surgery, var
Page 291 and 292: AreflexiaSlowed nerve conduction ve
Page 293 and 294: Causes of lumbosacral root disorder
Page 295 and 296: Compartment syndromescompartmentsAu
Page 297: Lateral root of median nerve (C5-C7
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Palsy without pronator, teres invol
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Baker's cyst (in rheumatoid arthrit
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Gluteal nerve lesionsIntramuscular
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Differential diagnosis of important
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2. C8 root syndromeMotor lossAs for
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Congenital and usually inherited my
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(iv) Type 7.erythrocytes involved.P
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Myopathies (polymyositis, dermatomy
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denervated muscles.)Prostigmine may
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Polyneuropathy (rarely)Hypothyroidi
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Multiple sclerosis - CAMBS scaleDis
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Intrathecal IgG production ≥90Oli
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THE CV-4 TECHNIQUEThe still point a
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NEUROLOGY TESTBlood pressure should
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To find out about the different neu
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support, clergy support, counseling
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HYGIENESelf-care deficit (specify l
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ObjectiveHard -formed stoolStrainin
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Definition: [ failure of the heat t
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Work overloadUnrealistic perception
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Inappropriate or poorly communicate
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Decreased skin turgorIncreased puls
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Definition: The client is unable to
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DEFINING CHARACTERISTICSInternal (i
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SUPPORTING DATAETIOLOGYLack of expo
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Satiety immediately after ingesting
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DEFINING CHARACTERISTICSSubjectiveX
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Does not defend self-care practices
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Cognitive perceptualCultural or spi
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SUPPORTING DATAETIOLOGYEnvironmenta
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Mechanical factorsShearing forcesPr
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Changes in postureFrequent yawningN
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DEFINING CHARACTERISTICSObjectiveSk
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Toxic reactions to medicationBatter
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______Self-concept, disturbance in:
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Bed rest or immobilityDEFINING CHAR
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Unmet needs[Physiological factors,
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___________________________________
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Inability to speak in sentencesDoes
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Decision and actions by family whic
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ETIOLOGYSituational transition and/
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Hypotension [postural]Increased pul
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Central venous pressure changesJugu
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ObjectiveCryingDevelopmental regres
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Abnormal blood profile: altered clo
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Children playing without gates at t
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Reluctance to attempt movement[C/o
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SubjectiveReported or observed dysf
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diagnosis that adjustment to parent
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Acute Phase:Emotional reactions: an
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SubjectiveVerbalization of:Change i
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SUPPORTING DATAETIOLOGYEnvironmenta
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ETIOLOGYExternal (environmental) fa
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Interrupted sleep[Falls asleep duri
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Alteration in behavior or mood evid
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DEFINING CHARACTERISTICSSubjectiveF
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6) ORTHOPAEDIC TEST/SIGNS:Noted in
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Hibbs (positive) (negative) for (rt
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PROGNOSIS:MODERATE:The prognosis fo
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RECIPESBETTER BUTTERFor those of yo
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or flakes. Begin with 1/2 teaspoon
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in waterfor an elegant main course.
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This recipe also makes an excellent
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adding the celery and carrot near t
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stuffed caps in lightly greased bak
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TOFU SURPRISES2 tablespoons cold-pr
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By following these guidelines, you
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The technique of somatoemtional rec
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SPINAL IMPAIRMENT RATINGWhole Man1.
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59. Do you have a loss of interest
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The technique used to mobilize the
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The technique for evaluation and tr
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Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

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