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differential spinalcord cord injury management signs spinal symptoms syndromes acute algorithm barre cauda caudaequina cushings dislocation disorders endocrinology equina evaluation
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
- Emergency Causes ... stenosis • Vascular ... • Provocative Tests ... absent anal wink test ... #causes #neurology
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Pathogenesis and clinical ... injury, often from vascular ... #diagnosis #pathophysiology ... signs #symptoms #msk ... #orthopedics #neurology
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Causes of Neuromuscular ... Demyelinating Disease (MS ... heavy metals), Critical ... #differential #diagnosis ... #neurology
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
myasthenia Diagnosis ... Bedside: ice pack test ... /Edrophonium test ... Myasthenia #Gravis #diagnosis ... #management #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... anterior horn gray ... herniation - Lumbar ... #differential #diagnosis ... #neurology
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
Guillain-Barré Syndrome ... Incidence: 1 to 2 cases ... : • Lumber Puncture ... and sensitive tests ... #neurology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
Cushing's Syndrome ... Hypercortisolism - Diagnosis ... and Clinical Features ... , oral cavity) Caused ... dexamethasone suppression test
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
neurological lesion: Clinical ... Non-compressive Spinal Cord Causes ... Vascular/Blockage ... MCTD, Sjogren syndrome ... #neurology #differential
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
determine if stress test ... Change in clinical ... - Peripheral vascular ... Intraabdominal - Orthopedic ... stratification #diagnosis
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... Neurologic injuries ... nerve injury (25%) TEST ... /orthopedic consult ... Posterior #Injury #msk
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