9 results
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
Complete loss of motor ... Mixed upper and lower ... saddle anesthesia. leg ... signs #symptoms #msk ... #orthopedics #neurology
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Sciatica • Tarsal tunnel ... pain/swelling - Fever ... differential #diagnosis #lower ... #extremity #msk ... #physicalexam
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
Lower Extremity ... • Cauda Equina Syndrome ... Neuropathy - Foot drop ... #sensory #motor ... #leg #physicalexam
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
and Myotomes Motor ... Wrist drop - Occurs ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology ... #arm #physicalexam
Incomplete spinal cord syndromes (ISCS)
 • Central - Small Lesion - Suspended sensory deficit, classic cape
Disproportionate motor ... extremities than in lower ... LMN deficit at level ... multiradicular pain, leg ... #diagnosis #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... Weakness - Lower ... motor neuron symptoms ... lesion - Upper motor ... multiradicular pain - Leg
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Locked-in syndrome ... wrists clenched; legs ... wrists clenched; legs ... caseyalbin #PhysicalExam ... #neurology #comatose
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Sensory and/or motor ... arthralgia, arm/leg ... the upper and lower ... Palpable purpura (lower ... legs), cutaneous
Ober's Test for TFL/ITB Inflammation

With the patient in the lateral position, affected side up.  The
hip, then slowly lowers ... the leg towards ... the knee will drop ... Iliotibial #Band #Syndrome ... #sports #msk #orthopedics