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diagnosis clinical pocus caudaequina differential extremity leg management nerveblock neurology physicalexam accessory block cauda dermatomes dislocation emergencies equina forearm injury
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
artery aneurysms Nerve ... Causes of Leg Pain ... Spinal stenosis/nerve ... Paralysis 4) Paresthesia ... lower #extremity #msk
Cauda Equina Syndrome Causes: • Large lumbar degenerative disc herniation (central) • Severe lumbar spondylosis • Neoplasm
Cauda Equina Syndrome ... Causes: • Large ... Incontinence • Saddle Anesthesia ... damage to sacral nerves ... #MSK #pathophysiology
US guided musculocutaneous nerve block for forearm laceration. Short axis of needle and nerve are
musculocutaneous nerve ... of needle and nerve ... NerveBlock #POCUS #Ultrasound ... Clinical #Transverse #MSK ... #Anesthesia #Pain
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 Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
compression of nerve ... • S - Saddle anesthesia ... • P - Pain ... - Emergency Causes ... differential #diagnosis #causes
Spinal Accessory Nerve Block for Myofascial Pain on POCUS The needle is being viewed in-plane, approaching the
Spinal Accessory Nerve ... for Myofascial Pain ... #Block #POCUS #Pain ... #clinical #ultrasound ... #anesthesia #MSK
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 Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
• Cauda Equina Syndrome ... - Low back pain ... saddle (perineal) anesthesia ... Commonly caused ... damage to peroneal nerve
Interscalene Nerve Block on POCUS Fracture/dislocation of a shoulder. Pt hypoxic/hypovent due to opiates. When your rock
Interscalene Nerve ... NerveBlock #POCUS #ultrasound ... #clinical #pain ... #local #anesthesia ... #msk
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 Orthopedic Emergencies Compartment Syndrome • An increase in compartment pressure to the point where tissue perfusion is
irreversible muscle and nerve ... • Syndrome caused ... - Intense pain ... days, the local pain ... progresses to anaesthesia
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Sjogren's Syndrome ... Hypocomplementemia • Can cause ... myelopathy, cranial nerve ... phenomenon (16%) MSK ... lubricants • Pharmacologic
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
DISLOCATION: ~25% cases ... Common peroneal nerve ... Compartment syndrome ... lachmans, posterior drawers ... Posterior #Injury #msk
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