Onychia and Paronychia of the Toe â What You Can Do. The terms onychia and paronychia refer to a type of bacterial or fungal infection that strikes the fingernails and toenails. Onychia is an infection of the nail itself, which causes inflammation of the nail and swelling of the surrounding tissue. Paronychia is an infection of the surrounding tissue, where the nail meets the skin; a paronychia infection causes inflammation, and may also lead to the formation of pus-filled abscesses.
Deep Tendon Reflexes. Using a reflex hammer, deep tendon reflexes are elicited in all 4 extremities. Note the extent or power of the reflex, both visually and by palpation of the tendon or muscle in question.
There are two types of reflex arc: autonomic reflex arc (affecting inner organs) and somatic reflex arc (affecting muscles).hen the patellar tendon is tapped just below the knee, the patellar reflex is initiated and the lower leg kicks forward (via contraction of the quadriceps). The tap initiates an action potential in a specialized structure known as a muscle spindle located within the quadriceps.