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Matha Naidu.pptx

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Anilkumar Reddy

A 57-year-old male patient presented with neck pain radiating to both upper limbs following a fall from a chair 4 months ago. On examination, the patient had increased tone in both upper and lower limbs with normal bulk and strength graded 4+/5 throughout. Reflexes were symmetrically brisk. Sensory examination was normal and cranial nerve examination was unremarkable. The impression was bilateral cervical radiculopathy with anterior cord compression due to trauma.

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Name- Matha Naidu Age- 57/M Mrd no- 1313379 Diagnosis BI with AAD
A 57/M patient who is right handed by nature , -Neck pain radiating to both upper limbs - A/H/O trauma over neck due to fall from chair 4 months ago. - No radiation - No paresthesias - No H/o slippage of chappals - No fever, No bowel/bladder symptoms
MOTOR SYSTEM: Tone Increased in both upper and lower limbs Bulk Normal in both upper and lower limbs
O/E:patient conscious, Vitals stable GCS-E4V5M6 -CNS examination Higher mental function normal
CRANIAL NERVE EXAMINATION CN 1: B/L sense of smell normal CN2: VA right 6/9 and left 6/9, fundoscopy normal disc CN 3,4,6- All EOM full range, No nystagmus No ptosis Pupils- B/L 3mm equal and reactive.
CN 5-intact CN 7-normal CN 8 B/L AC>BC webers not lateralised CN 9, 10 Uvula midline Palatal movements normal ,no asymmetry Gag reflex intact
CN 11 Shoulder shrugging Normal on both sides CN 12 No fasciculations of tongue no Tongue deviation
Power - right left Upper limb Shoulder- 4+/5 4+/5 Elbow- 4+/5 4+/5 Wrist- 4+/5 4+/5 Lower limb Hip- 4+/5 4+/5 Knee- 4+/5 4+/5 Ankle- 4+/5 4+/5 EHL- 4+/5 4+/5 -Hand grip - 90% 90% Reflexes Superficial reflexes-present DTR: BJ TJ S KJ AJ Right - 3+ 3+ 3+ 3+ 2+ Left - 3+ 3+ 3+ 3+ 2+ Plantars- both flexors
Sensory system- normal Cerebellar signs: no Tandem Gait : normal Meningeal signs: no
Matha Naidu.pptx
Matha Naidu.pptx
Matha Naidu.pptx
Matha Naidu.pptx
Matha Naidu.pptx
Matha Naidu.pptx
Matha Naidu.pptx
Matha Naidu.pptx

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Matha Naidu.pptx

  • 1. Name- Matha Naidu Age- 57/M Mrd no- 1313379 Diagnosis BI with AAD
  • 2. A 57/M patient who is right handed by nature , -Neck pain radiating to both upper limbs - A/H/O trauma over neck due to fall from chair 4 months ago. - No radiation - No paresthesias - No H/o slippage of chappals - No fever, No bowel/bladder symptoms
  • 3. MOTOR SYSTEM: Tone Increased in both upper and lower limbs Bulk Normal in both upper and lower limbs
  • 4. O/E:patient conscious, Vitals stable GCS-E4V5M6 -CNS examination Higher mental function normal
  • 5. CRANIAL NERVE EXAMINATION CN 1: B/L sense of smell normal CN2: VA right 6/9 and left 6/9, fundoscopy normal disc CN 3,4,6- All EOM full range, No nystagmus No ptosis Pupils- B/L 3mm equal and reactive.
  • 6. CN 5-intact CN 7-normal CN 8 B/L AC>BC webers not lateralised CN 9, 10 Uvula midline Palatal movements normal ,no asymmetry Gag reflex intact
  • 7. CN 11 Shoulder shrugging Normal on both sides CN 12 No fasciculations of tongue no Tongue deviation
  • 8. Power - right left Upper limb Shoulder- 4+/5 4+/5 Elbow- 4+/5 4+/5 Wrist- 4+/5 4+/5 Lower limb Hip- 4+/5 4+/5 Knee- 4+/5 4+/5 Ankle- 4+/5 4+/5 EHL- 4+/5 4+/5 -Hand grip - 90% 90% Reflexes Superficial reflexes-present DTR: BJ TJ S KJ AJ Right - 3+ 3+ 3+ 3+ 2+ Left - 3+ 3+ 3+ 3+ 2+ Plantars- both flexors
  • 9. Sensory system- normal Cerebellar signs: no Tandem Gait : normal Meningeal signs: no