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Is it focal? Hypoactive reflexes limited to one extremity suggest a herniated disk, plexopathy, or early cauda equina or spinal cord tumor.
If focal, are the hypoactive reflexes involving both ... DIAGNOSTIC WORKUP
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... Diffuse hypoactive reflexes is of no significance in otherwise healthy subjects, However, anatomy is the key to recalling the many pathologic causes of hypoactive reflexes. Visualizing the reflex arc (see figure below), we have the spinal cord nerve roots, peripheral nerves
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... A hypoactive deep tendon reflex (DTR) is an abnormally diminished muscle contraction that occurs in response to a sudden stretch induced by sharply tapping the muscle's tendon of insertion. It may be graded as minimal (+) or absent (0). Symmetrically reduced (+) reflexes may... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... A hyperactive deep tendon reflex (DTR) is an abnormally brisk muscle contraction that occurs in response to a sudden stretch induced by sharply tapping the muscle's tendon of insertion. This elicited sign may be graded as brisk or pathologically hyperactive. Hyperactive DTRs are commonly... History and physical examination ... Medical causes ... Special considerations ... Pictures
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... An indicator of brain stem dysfunction, the absence of the doll’s eye sign is detected by rapid, gentle turning of the patient’s head from side to side. The eyes remain fixed in midposition, instead of the normal response of moving... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... A hypoactive deep tendon reflex (DTR) is an abnormally diminished muscle contraction that occurs in response to a sudden stretch induced by sharply tapping the muscle’s tendon of insertion. It may be graded as minimal (+) or absent (0). Symmetrically reduced (+... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
... READ EXCERPTS »
... A hyperactive deep tendon reflex (DTR) is an abnormally brisk muscle contraction that occurs in response to a sudden stretch induced by sharply tapping the muscle’s tendon of insertion. This elicited sign may be graded as brisk or... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
... READ EXCERPTS »
... Differential Overview
Hyporeflexia
❑ Nerve root compression
❑ Hypothyroidism
❑ Acute stroke
❑ Diabetes ... Diagnostic Approach ... Clinical Findings ... Pictures
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... Hypoactive deep tendon reflexes (DTRs) are abnormally diminished muscle contractions that occur in response to a sudden stretch induced by sharply tapping the muscle’s tendon of insertion. Symmetrically reduced reflexes may be normal. ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ EXCERPTS »
... Hyperactive deep tendon reflexes (DTRs) are abnormally brisk muscle contractions that occur in response to a sudden stretch induced by sharply tapping the muscle’s tendon of insertion. This elicited sign may be graded as brisk or pathologically... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
... READ EXCERPTS »
... An indicator of brain stem dysfunction, the absence of the doll's eye sign is detected by rapid, gentle turning of the patient's head from side to side. The eyes remain fixed in midposition, instead of the normal response of moving laterally toward the side opposite the direction the head... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
... A hypoactive deep tendon reflex (DTR) is an abnormally diminished muscle contraction that occurs in response to a sudden stretch induced by sharply tapping the muscle's tendon of insertion. It may be graded as minimal (+) or absent (0). Symmetrically reduced (+) reflexes may be normal. ... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
... A hyperactive deep tendon reflex (DTR) is an abnormally brisk muscle contraction that occurs in response to a sudden stretch induced by sharply tapping the muscle's tendon of insertion. This elicited sign may be graded as brisk or pathologically hyperactive. Hyperactive DTRs are... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
...
Diffuse hypoactive reflexes are of no significance in otherwise healthy
individuals; however, anatomy is the key to recalling the many
pathologic causes of hypoactive reflexes. Visualizing the reflex arc (see
figure on page 251), we have the spinal... Pictures
... READ EXCERPTS »
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