JPINFV Posted February 5, 2008 Author Posted February 5, 2008 Is the blood pressure the same in both arms? Also I'd like to check the redness in the axillary region, any swelling or pain to touch? Blood pressure is equal in both arms. Negative swelling or tenderness. [hr:d036958162] What day of the week is it? Sunday :!: :wink: [hr:d036958162] Was the patient sleeping on the chair, in a manner that would suppress blood flow to the paralysis area for an extended period of time? The patient doesn't remember how he fell asleep. [hr:d036958162] Was he supposed to take his finals today?!!! His last final of the term was on Friday.
Chief1C Posted February 5, 2008 Posted February 5, 2008 Sunday :!: :wink: If he'd spent the night dancing to the bay city rollers, this wouldn't have happened!
JakeEMTP Posted February 6, 2008 Posted February 6, 2008 OMG! I used to have hair like that lead singer! :laughing8:
Fluffpaw38 Posted February 6, 2008 Posted February 6, 2008 Good scenario. I guess we read way too much into the actual physical assessment then the past history :shock:
JPINFV Posted February 6, 2008 Author Posted February 6, 2008 Since it looks like most people that have been participating have it down, the answer is Saturday Night Palsy. This condition is one of the clinical correlates in my anatomy class. Saturday Night Palsy [aka Honeymooner's Palsy or official as Radial Nerve Palsy] occurs when pressure is applied over several hours to the radial nerve causing necrosis. An example of such an event could happen if you pass out with your arm hung over a chair. This is because the radial nerve spirals around the medial part of the humerus after giving off its branches for the upper arm. Therefore, damage to the nerve, which can be permanent, will affect the muscles of the top/dorsal part of the hand that engage in extending the fingers and the wrist. One of the tell-tale signs of radial nerve damage is called "wrist drop" (hold your arm out straight with your palm down and relax your wrist). Other muscles in the hand can weakly extend the fingers, though, and are innervated by a different nerve. http://www.emedicine.com/neuro/topic587.htm
zzyzx Posted February 6, 2008 Posted February 6, 2008 Never ever heard of that before. Very interesting. Great scenario!
firedoc5 Posted February 9, 2008 Posted February 9, 2008 I sort of suspected something like that because I have a minor condition of that with my left elbow.
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