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diagnosis physicalexam clinical dermatomes differential extremity leg myotomes orthopedics weakness alien arm grasp limb lowerlimb manifestations median msk nerve neuromyelitis
Median Nerve Anatomy and Function The Median nerve is the nerve of pre-axial hand function; pinch, delicate
Median Nerve Anatomy ... intrinsic motor ... and no sensory ... • Carpal tunnel ... #diagnosis #neurology
Oppositional Grasp Weakness in Carpal Tunnel Syndrome Dysfunction of the six- Opposition weakness-in carpal tunnel syndrome with
Tunnel Syndrome ... tunnel syndrome ... Grasp #Weakness #Hand ... #Carpal #Tunnel ... #msk #CTS
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 Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Reflexes: • Knee ... • Cauda Equina Syndrome ... sensory disturbance ... Myotomes #diagnosis #neurology ... #sensory #motor
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Myotomes Motor ... aracteristic "claw hand ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology ... #sensory #motor
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
Other brainstem syndromes ... Transverse myelitis: Motor ... and sensory deficits ... pain • Extra-CNS ... Manifestations #diagnosis #neurology
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
pulmonary etc) • CNS ... Upper Motor Neuron ... • Acute stroke syndromes ... signs - Lack of sensory ... Differential #Diagnosis #neurology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
vasculitis • Sensory ... and/or motor neuropathy ... affects the skin, neurologic ... cognitive impairment, neurologic ... vasculitis • Cogan syndrome
Alien Limb Syndrome on Physical Exam Elderly lady with Parkinsonism (PSP) c/o left leg rising up spontaneously
Alien Limb Syndrome ... Anterior ‘Frontal’ Motor ... Posterior, Parietal “sensory ... PhysicalExam #clinical #video ... #leg #neurology
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