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Neurologic Examination
of Upper Limbs
Dr. Yasser Alwabli
Orthopedic Surgery
Plan
General examination
Inspection
Sensory
• Sensations
Motor
• Power
• Muscle tone
Reflexes
• Biceps
• Triceps
• Brachioradialis
Introduction
Wash handsWash
Introduce yourselfIntroduce
Confirm patient detailsConfirm
Explain examinationExplain
Gain consentGain
Expose patient’s arms fullyExpose
Equipment
• Tendon hammer
• Cotton wool
• Tuning fork
Inspection
General appearance – any limb deformity or posturing
Scars
Wasting of muscles
Involuntary movements
Fasciculations
Asymmetry
Sensory
Motor- power and muscle tone
C5
C6/7
C5
C7
C7
C6
T1
C8
Tone
Reflexes- triceps
Reflexes- triceps
Biceps reflex
Brachioradialis reflex
References
• geekymedics.com
• medistudents.com

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Neurologic examination of upper limbs