NURS105 Chapter Notes - Chapter 0: Synovial Fluid, Hypoesthesia, Muscle Contraction

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} deep tendon reflexes: bicep (c5, c6) // tricep (c6, c7) // brachioradialis (c5, c6) // patellar (l2, l3, l4) // achilles (s1 & l5, grade: 0 to 4+ (normal = 2+). } superficial reflexes (t8-t12: upper abdominal, lower abdominal, grade: present, absent, equivocal (not sure) } plantar response: abnormal finding: babinski reflex (in adults) toes fan up, upper motor neuron lesion in cns. } meningeal sign (nuchal rigidity: abnormal finding: brudzinski"s sign (in children) bend head forward and hips/knees flex. Rapid alternating movements: heel-leg-move along btw ankle and knee. } ask patient to move joints: observe and palpate. Complete functional assessment on patient difficulty performing daily tasks (after trauma, injury, living with chronic illness or deficit) // 6th vital sign. } decreased muscle regeneration & synovial fluid prod: muscle mass loss. 1 muscle contraction visible but no movement of joint. 2 complete passive rom; no rom against gravity. 4 complete rom against gravity and moderate resistance.

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