Examine this patient's Upper Limbs

• Scan the whole patient and look at:

  1_FACE,NECK,ELBOW & HANDS
  2_MUSCLE BULK,TREMOR & FASCICULATION
  3_Ask : Hold your arms out infront of you
  4_Test:TONE,POWER,REFLEXES
  5_Test: Coordination and Sensory Screen

  
  

  FINDINGS:

  • Face and Neck look normal.
    Arms and forearms are wasted,more marked proximally.
    No tremor or fasciculation is noted.
    And the patient can not outstretch both arms.

    Tone is reduced both proximally and distally.
    Proximal power 2/5,3/5 distally.

    All of the upper limb reflexes are sluggish.

    Sensation is normal.