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Introduction
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Learning Checkpoint - Review the patient cases presented below and answer the following questions for each case:
  1. Does this patient require somatosensory testing as part of the initial examination and evaluation?
  2. Should the clinician test for a peripheral nerve distribution, dermatomal distribution, a central nervous system distribution, or some combination of these?
  3. Describe the rationale for your response.
Patient Problem 1 - A 58 year old woman with a history of diabetes and a left below knee amputation has had a right middle cerebral artery CVA resulting in left hemiplegia.

Patient Problem 2 - A 58 year old woman with no significant prior medical history has had a right middle cerebral artery CVA resulting in left hemiplegia.

Patient Problem 3 - A 62 year old male has a 40 year history of smoking 1-2 packs of cigarettes per day. After several years of increasing shortness of breath, he has recently been diagnosed with COPD (chronic obstructive pulmonary disease). He has a history of hypertension but has no other neurological or orthopedic problems.

Patient Problem 4 - A 62 year old male has a history of cervical osteoarthritis and has no other significant medical history. He complains of numbness in his right fourth and fifth fingers.

Patient Problem 5 - A 62 year old male has a history of cervical osteoarthritis and a right elbow fracture. He complains of numbness in his right fourth and fifth fingers.

Patient problem worksheet .

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Section: Introduction
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