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differential neurology spinal spinalcord algorithm caudaequina compylobacterjejuni dermatomes disorders dvt emergencies equina flaccidpalsy gbs guillainbarresyndrome hemeonc landrysyndrome lesions likelihood lowerlimb
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
Cauda Equina Syndrome ... (CES) is usually ... - Emergency Causes ... : • Spinal cord ... • Transverse myelitis
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Diagnosis Framework ... cyanosis - Cool extremity ... #differential #diagnosis ... #lower #extremity ... #msk #physicalexam
Physical Exam findings in Lower Extremity DVT - Likelihood Ratios - Asymmetric calf swelling, ≥2 cm
Extremity DVT - ... Swelling of entire leg ... - Palpable cord ... Likelihood #Ratios #PhysicalExam ... #diagnosis
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Lower Extremity ... Conditions: • Cauda ... Equina Syndrome ... Commonly caused ... #physicalexam
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
roots -> Cauda ... Causes: 1. ... - Transverse myelitis ... MCTD, Sjogren syndrome ... , lower extremity
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
- Spinal Cord Syndromes ... Weakness - Lower ... involvement Cauda ... multiradicular pain - Leg ... #differential #diagnosis
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
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
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