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diagnosis dizziness orthopedics spinalcord syndromes acute algorithm bilaterality brownsequard cancer cauda caudaequina causes clinical deficit distribution dizzy emergencies equina injury
Dizziness - Differential Diagnosis Framework "Tell me what you mean by dizzy without using the word dizzy." Vertigo:
• Peripheral: BPPV ... Meniere's Disease • Central ... dysfunction, Meds • Reflex ... Cerebellar/Posterior Cords ... #Diagnosis #neurology
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... may be present Central ... auditory findings BPPV ... or supine roll test ... Vertigo #Algorithm #differential
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Acute Spinal Cord ... mimics complete • Central ... bladder and rectal reflex ... signs #symptoms #msk ... #orthopedics #neurology
Principal patterns of loss of sensation. (a) Thalamic lesion: sensory loss throughout opposite side (rare).
(c) Central cord ... MS: loss of proprioception ... #Diagnosis #Neurology ... GrepMed Recommended Text ... Review in Clinical Neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... dysfunction Central ... in deep tendon reflexes ... syndromes #lesions #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 •
constipation Differential ... Diagnosis: • Spinal cord ... • Provocative Tests ... absent anal wink test ... diagnosis #causes #neurology
Inverted Supinator Test Useful for identifying a lesion at the C5-C6 spinal cord level. Tapping the
Inverted Supinator Test ... the C5-C6 spinal cord ... radial (supinator) reflex ... #Reflex #neurology ... #orthopedics #msk
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 Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Spasticity - Reflexes ... negative, MOG-IgG test ... Herpes zoster, West ... diagnosis #management #neurology ... #differential
Oncologic Emergencies - Differential Diagnosis Framework HEMATOLOGIC ONCOLOGIC EMERGENCIES: Hyperviscosity Syndrome: • Spontaneous bleeding • Shortness of breath
Emergencies - Differential ... of breath • Neurologic ... Epidural Spinal Cord ... • Dyspnea at rest ... Progressive decline in mental
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