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diagnosis differential dermatomes leg motor myotomes sensory spinalcord algorithm arm barre caudaequina causes cord disorders equina gbs guillain injury lower
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Acute Spinal Cord ... injury, often from vascular ... Primarily Upper Extremity ... signs #symptoms #msk ... #orthopedics #neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Conditions: • Cauda ... Equina Syndrome ... Neuropathy - Foot drop ... stopping walking (vascular ... Myotomes #diagnosis #neurology
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
Cauda Equina Syndrome ... spine • MCC- acute ... lumbar stenosis • Vascular ... • Provocative Tests ... diagnosis #causes #neurology
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity ... Wrist drop - Occurs ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Sciatica • Tarsal tunnel ... Herpes zoster - HIV ... Immobilization) • Acute ... pain/swelling - Fever ... #msk #physicalexam
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Pain reported at level ... Lower roots -> Cauda ... Vascular/Blockage ... MCTD, Sjogren syndrome ... disorders #diagnosis #neurology
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
(GBS) Acute autoimmune ... paralysis of all extremity ... and sensitive tests ... nerve roots and cauda ... diagnosis #management #neurology
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