Dermatomes
Each dermatome represents an area supplied with afferent or sensory nerve fibers from an individual nerve root from the spinal cord; cervical, C1–8; thoracic, T1–12; lumbar, L1–5; sacral, S1–5. Dermatomes are used to assess sensation when trying to locate source of lesion or spinal cord injury.
Assessment
■ Test sensation to pinprick in all dermatomes.
■ If Pt is found to have no sensation below level of nipples, then lesion or injury is likely to be at level of T4.
Document
■ Record most caudal (lowest) dermatome that feels pinprick (e.g., “No sensation at or below level T4”).
7/7/14
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