7 results
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... both upper and lower ... consistent with a diagnosis ... of Horner's syndrome ... experience, the cause
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
(CES) is usually ... - Emergency Causes ... : • Spinal cord ... • Transverse myelitis ... #causes #neurology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Upper Extremity ... "claw hand" ± Horner ... Triceps power is ... Dermatomes #Myotomes #diagnosis ... sensory #motor #arm #physicalexam
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
- Differential Diagnosis ... Causes: 1. ... - Transverse myelitis ... MCTD, Sjogren syndrome ... , lower extremity
Guillain–Barré syndrome (GBS)
(aka: Landry–Guillain–Barré–Strohl syndrome:
	Most common cause of acute flaccid paralysis
	Rapidly progressive ascending paralysis & areflexia
	Autonomic
 Most common cause ... moves rapidly from lower ... Differential diagnosis ... Multiple Sclerosis: CNS ...  Transverse myelitis
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... cyanosis - Cool extremity ... #differential #diagnosis ... #lower #extremity ... #msk #physicalexam
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
Treat underlying cause ... replacement Cord ... compression: - Lower-extremity ... ) - Symptoms: CNS ... Oncology #HemeOnc #Diagnosis