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Kaplan Qbank USMLE



Author9 Posts
  #1

Difference between upper and lower motor neuron disease?

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life is guud

  #2

Ill do Upper: {Interrupted Corticospinal}

1)flaccid paralysis
2)spasticity with hyperreflexia
3)clonus
4)Babinski elicited
5)absent abdominal reflexes

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Smell the coffee! "Is That an Osler move??"

  #3

hey it's UMN : not flaccid but spastic paralysis....rest are correct

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life is guud

  #4

Doing this in detail:
1)Initially the affected limb shows a flaccid paralysis with loss of tendon reflexes. Normal muscle tone is lost.
2)After days or weeks some return of voluntary muscle tone is gained. And we see spasticity and hyperreflexia.
3)Clonus may be elicited at the wrist/ankle
4)Babinski elicited
5)absent abdominal reflexes

most important{eventual spasticity, hyperreflexia, Babinski elicited}
For LMN at least remember:
muscle wasting, flaccidity/loss ot DTReflexes, fasciculations

___________________
Smell the coffee! "Is That an Osler move??"

  #5

hey i did'nt know about this initial flaccidity....tnx

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life is guud

  #6

hey mjl1717 i also didn't heard about this intial flaccid paralysis.
r u sure?

  #7

i chechked the book....it's correct. there is inittial flaccidity becoz normally motor system is under the influnce of higher brain region. immediate cut off wud result in flaccidity but then the spindles gain there control and become hyperactive.

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life is guud

  #8

THANX GOOD POINT.

  #9

You are so strong mjl grin







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