Aminabi.pptx rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr

rfefre3f

1. Name-Syed Amina bi Age- 63/F Mrd no-1373341 Diagnosis – D12 Wedge fracture and L5-S1 Grade 2 listhesis Comorbidities-Osteoporosis

2. h/o LBA for 3months,which is more on lying down No h/o pain radiating to lower limbs No h/o paraesthesia's in lower limbs No h/o neurogenic claudication h/o urinary urgency present No h/o bowel complaints No h/o injury to lower back

3. O/E : Patient conscious and coherent Vitals stable -CNS examination Higher mental function- normal

4. CRANIAL NERVE EXAMINATION CN 1: B/L sense of smell normal CN2: VA right –6/6 and left – 6/6 CN 3,4,6 - EOM full range No nystagmus No ptosis Pupils- B/L 3mm equal and reactive.

5. CN 5- Normal CN 7 - Intact CN 8 B/L AC>BC , Weber's not lateralised CN 9, 10 Uvula midline Palatal movements normal ,no asymmetry

6. CN 11 Shoulder shrugging – Normal on both sides CN 12 No fasciculations of tongue no Tongue deviation

7. MOTOR SYSTEM: Tone Normal in both upper and lower limbs Bulk Normal in both upper and lower limbs

8. Power - right left Upper limb Shoulder- 5/5 5/5 Elbow- 5/5 5/5 Wrist- 5/5 5/5 HG- 100% 100% Lower limb Hip- 4/5 4/5 Knee- 4/5 4/5 Ankle- 4/5 4/5 EHL- 4/5 4/5 Reflexes – Superficial reflexes-present DTR: BJ TJ S KJ AJ Right - 2+ 2+ 2+ 2+ 2+ Left - 2+ 2+ 2+ 2+ 2+ Plantars - both flexors

9. Sensory examination: Normal Romberg's sign: Negative Tandem gait: Normal Cerebellar examination: Normal Involuntary movements: No Meningeal signs: No