Left. The first patient shown has hyperreflexia or 3 DTR s of the right biceps, triceps and brachioradialis. The second patient has hyperreflexia of the right finger flexors. Hyperreflexia is one of the signs of a UMN lesion.
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Upper extremities Inspection Palpation, in this patient there are fasciculations (spontaneous contraction of a motor unit) noted in the deltoid muscle as well as atrophy. There is also atrophy of the interosseous muscles of the hands.

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