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neurology rheumatology causes leg spinalcord vasculitis acute algorithm cauda caudaequina classification cord dermatomes disorders encephalopathy equina erythematosus injury lower lowerlimb
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
injury, often from vascular ... weakness and hyperpathia ... Primarily Upper Extremity ... #diagnosis #pathophysiology ... signs #symptoms #msk
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Leg Pain - Differential ... Diagnosis Framework ... strain injury • Iliotibial ... #extremity #msk ... #physicalexam
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
• Cauda Equina Syndrome ... claudication and weakness ... stopping walking (vascular ... Dermatomes #Myotomes #diagnosis ... sensory #motor #leg #physicalexam
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Neuromuscular Weakness ... Demyelinating Disease (MS ... Guillain-Barre syndrome ... #Causes #differential ... #diagnosis #neurology
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Weakness - Differential ... Diagnosis Framework ... Impairment: • Acute stroke ... #Differential # ... Diagnosis #neurology
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
Diagnosis: • ... lumbar stenosis • Vascular ... weakness and sensory ... #differential # ... diagnosis #causes
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Cord Disorders - Differential ... Diagnosis Framework ... Vascular/Blockage ... MCTD, Sjogren syndrome ... , lower extremity
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
cortical lesions • Vascular ... circulation: MCA ACA ... Reversible course Differential ... Diagnosis: • ... Constipation, Seizures, Stroke
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
Diagnosis Framework ... and bullous or vesicular ... myalgia and muscle weakness ... Palpable purpura: strong ... extremities, upper extremity
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... Diagnosis Framework ... Diagnosis: • Systemic ... pulse deficits vascular ... Myalgia and muscle weakness
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