Upper Extremity Nerve Differential
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 12 February 2020
⏱️ 15 minutes
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Summary
Ofilia was recently diagnosed with Whiplash-Associated Disorder (WAD) after a severe motor vehicle accident. The patient has an inverted supinator sign, clumsiness in both hands, and difficulty performing wrist extension against resistance. Which of the following pathologies is the MOST likely present:
A. Central cord syndrome
B. Brachial plexus traction injury
C. C6 nerve root compression
D. Radial nerve lesion
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Transcript
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| 0:00.0 | You are now tuning in to the MPTE clinical files to mock MPTE-based questions told and solved |
| 0:07.0 | week by week. Thank you for tuning in to the MPT clinical files. My name is Kyle Rice, the MPT |
| 0:12.2 | prep coach, the founder of the PT Hustle and the creator of the MPT Prep Success Coaching Program. |
| 0:18.4 | And if you would like a free cheat sheet that goes along with this specific |
| 0:22.4 | question, tune in to the end of this episode. And I'm going to give you more information on how to |
| 0:27.7 | get that. All right. So for our next MPT clinical file, we have our patient. Ophelia. And Ophelia was |
| 0:33.5 | recently diagnosed with whiplash associated disorder WAD after a severe motor vehicle accident. |
| 0:43.1 | The patient has an inverted supinator sign, clumsiness in both hands, and difficulty performing |
| 0:51.3 | wrist extension against resistance. Which of the following pathologies is the most likely present? |
| 0:58.0 | So we have A, central cord syndrome, B is brachial plexus traction injury. |
| 1:04.0 | C is a C6 nerve root compression and D is a radial nerve lesion all right so you can see from this question |
| 1:14.6 | already it's going to be a little bit into that differential diagnosis trying to figure out |
| 1:19.3 | which of these neural pathologies it is i've been getting a lot of questions from you all you know |
| 1:24.9 | about this type of topic saying that you've been having trouble, |
| 1:27.9 | trying to pick out what type of nerve pathology it is, right? |
| 1:31.7 | Those types of questions kind of trip you up. |
| 1:33.5 | And so I got this question here for you that I want to walk you through step by step. |
| 1:39.9 | All right. |
| 1:40.7 | Let's knock it down. |
| 1:42.2 | So we got Ophelia was recently diagnosed with whiplash associated disorder. |
| 1:49.4 | I want to stop there for a moment. |
| 1:51.4 | I like that name Ophelia, by the way. |
... |
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