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diagnosis differential extremity spinalcord dermatomes myotomes alien arm clinical comatose cord examination incomplete infant injury iscs lesions limb lower lowerlimb
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Anterior Cord Syndrome ... • Central Cord Syndrome ... Sensory loss below ... Posterior Cord Syndrome ... Brown-Sequard Syndrome
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
hand" ± Horner Syndrome ... Wrist drop - Occurs ... Carpal Tunnel Syndrome ... #sensory #motor ... #arm #physicalexam
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
• Cauda Equina Syndrome ... Neuropathy - Foot drop ... Myotomes #diagnosis #neurology ... #sensory #motor ... #leg #physicalexam
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Patellofemoral pain syndrome ... syndrome, peroneal ... • Compartment syndrome ... Iliotibial band syndrome ... • Compartment syndrome
Incomplete spinal cord syndromes (ISCS) • Central - Small Lesion - Suspended sensory deficit, classic cape
Incomplete spinal cord syndromes ... Disproportionate motor ... multiradicular pain, leg ... Incomplete #spinalcord #syndromes ... #diagnosis #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
- Spinal Cord Syndromes ... Brown-Séquard Syndrome ... Posterior Cord Syndrome ... Central Cord Syndrome ... (Ventral) Cord Syndrome
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... /Sensory: • Tone ... caseyalbin #PhysicalExam ... #neurology #comatose
Alien Limb Syndrome on Physical Exam Elderly lady with Parkinsonism (PSP) c/o left leg rising up spontaneously
Alien Limb Syndrome ... Anterior ‘Frontal’ Motor ... #Alien #Limb #Syndrome ... #PhysicalExam # ... #neurology
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 Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Partial myelitis • Sensory ... • Or brainstem syndromes ... objective evidence of neurologic ... symptoms) • Acute ... diagnosis #management #neurology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
vasculitis • Sensory ... and/or motor neuropathy ... Mucocutaneous lymph node syndrome ... vasculitis • Behcet syndrome ... vasculitis • Cogan syndrome
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