Ulnar Nerve Palsy/ Claw Hand

EXAMINATION
         •CLAW HAND
           WEAKNESS          •Hypothenar eminence
                                          •Abductor digiti minimi
                                          •Median 2 lumbricals (finger flexion)
                                          •All interrossei (adduction & abduction)
           WASTING              •Medial side of forearm
           SENSORY             •Medial 1 1/2 fingers
           SYMPATHETIC     •Sweating

CAUSES
         •# Dislocation @ elbow
         •Occupational (leaning on elbows)
         •OA
         •Mononeuritis multiplex

Fig 1: Claw Hand

Causes of Delirium (Medical Mnemonics)

DELIRIUMS

D	Drugs
E	Eyes, ears (Disorientation)
L	Low oxygen (MI, ARDS, PE, CHF, COPD)
I
R	Retention (Urine, Stool)/ Restrains
I	Ictal
U	Underhydration/ Undernutrition
M	Metabolic
S	Subdural/ Sleep deprivation

Further Reading

Drugs Causing Delirium (Medical Mnemonics)

ACUTE CHANGE IN MS

A	Antibiotics	(Biaxin, Penicillin, Ciprofloxacin)
C	Cardiac drugs	(Digoxin, Lidocaine)
U	Urinary incontinence drugs	(Anticholinergics)
T	Theophylline
E	Ethanol
C	Corticosteroids
H	H2 Blockers
A	Antiparkinsonian drugs
N	Narcotics	(Mepridine)
G	Geriatric psychiatric drugs
E	ENT drugs
I	Insomnia drugs
N	NSAIDs	(Indomethacin, Naproxin)
M
S	Seizure medicines

Further Reading