Spinal cord levels: Difference between revisions

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*S2-S4: Anal Sphincter Contraction
*S2-S4: Anal Sphincter Contraction


==Sensory Exam==
=== Reflexes ===
*C2 Occiput
*C3 Thyroid Cartilage
*C4 Suprasternal Notch
*C5 Below Clavicle
*C6 Thumb
*C7 Index Finger
*C8 Little Finger
*T4 Nipple Line
*T10 Umbilicus
*L1 Femoral Pulse
*L2-L3 Medial Aspect of Thigh
*L4 Knee
*L5 Lateral Aspect of Calf
*S1 Lateral Aspect of Foot
*S2-S4 Perineal Region
 
==Spinal Reflex Exam==
*C6 Biceps
*C7 Triceps
*L4 Patellar
*S1 Achilles
 
== Deficits ==
{| style="width: 500px" border="1" cellpadding="1" cellspacing="1"
|-
| Level
| motor sensory deficit<br/>
|-
| C3
| lower neck
|-
| C4
| diaphragm/clavicular
|-
| C5
| deltoid,biceps/lat upperarm
|-
| C6
| extensor carpi rad/thumb,lat forearm
|-
| C7
| triceps,wrist flexors,finger extensors/ middle finger
|-
| C8
| finger flexors/ little finger
|-
| T1
| hand intriniscs/ medial forearm
|-
| T4
| intercostals/nipples
|-
| T10
| abdominals/ umbilicus
|-
| T12
| &nbsp;/suprapubic area, inguinal ligament
|-
| L1
| illiopsoas /upper thigh
|-
| L2
| "
|-
| L3
| quadriceps/lower anterior thigh
|-
| L4
| &nbsp;" /medial calf
|-
| L5
| extensor hallicus longus/dorsal foot
|-
| S1
| gastrosoleus, flexor hallicus longus/little toe
|-
| S2
| anal sphincterbladder/perineum
|-
| S3
| " / "
|-
| S4
| " / "
|}
 
== Reflexes ==


{| style="width: 500px" border="1" cellpadding="1" cellspacing="1"
{| style="width: 500px" border="1" cellpadding="1" cellspacing="1"
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| bulbocavernosus, anal wink
| bulbocavernosus, anal wink
|}
|}
==Sensory Exam==
*C2 Occiput
*C3 Thyroid Cartilage
*C4 Suprasternal Notch
*C5 Below Clavicle
*C6 Thumb
*C7 Index Finger
*C8 Little Finger
*T4 Nipple Line
*T10 Umbilicus
*L1 Femoral Pulse
*L2-L3 Medial Aspect of Thigh
*L4 Knee
*L5 Lateral Aspect of Calf
*S1 Lateral Aspect of Foot
*S2-S4 Perineal Region
==Spinal Reflex Exam==
*C6 Biceps
*C7 Triceps
*L4 Patellar
*S1 Achilles


==Source==
==Source==

Revision as of 15:04, 21 September 2014

Motor Exam

  • C3-C5: Diaphragm
  • C5: Shoulder Abduction
  • C5-C6: Elbow Flexion
  • C6-C7: Wrist Extension
  • C7-C8: Elbow Extension
  • C8: Finger Flexion
  • T1-T6: Intercostal Muscles
  • L3-L4: Thigh Adduction
  • L2-L4: Knee Extension
  • L4-L5: Ankle Dorsiflexion
  • L5-S1: Great Toe Extension
  • S1-S2: Ankle Plantarflexion
  • S2-S4: Anal Sphincter Contraction

Reflexes

Level
Reflex
C5
biceps
C6
brachioradialis
C7 triceps
L3 quadriceps
S1 achilles tendon
S2,3,4 bulbocavernosus, anal wink


Sensory Exam

  • C2 Occiput
  • C3 Thyroid Cartilage
  • C4 Suprasternal Notch
  • C5 Below Clavicle
  • C6 Thumb
  • C7 Index Finger
  • C8 Little Finger
  • T4 Nipple Line
  • T10 Umbilicus
  • L1 Femoral Pulse
  • L2-L3 Medial Aspect of Thigh
  • L4 Knee
  • L5 Lateral Aspect of Calf
  • S1 Lateral Aspect of Foot
  • S2-S4 Perineal Region

Spinal Reflex Exam

  • C6 Biceps
  • C7 Triceps
  • L4 Patellar
  • S1 Achilles

Source

  • Netter's Atlas
  • Rosen's 2013, Chapter 43- Spinal Injuries- Tables 43-3,43-4