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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
 •
Differential Diagnosis ... Tethered cord • Guillain-Barre ... • Provocative Tests ... absent anal wink test ... #differential #diagnosis
Peripheral Edema - Differential Diagnosis Framework for Lower Extremity Edema

Edema occurs when any of the following
- Differential Diagnosis ... type 1 (reflex ... Edema: • CHF • Cirrhosis ... #differential #diagnosis ... #PhysicalExam #
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... paralysis of all extremity ... Decreased / Absent Reflexes ... Diagnosis: • ... #diagnosis #management
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... caseyalbin #PhysicalExam ... neurology #comatose #diagnosis
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
Lower Extremity ... and Myotomes Reflexes ... • Cauda Equina Syndrome ... Dermatomes #Myotomes #diagnosis ... sensory #motor #leg #physicalexam
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Guillain-Barré Syndrome ... depressed deep tendon reflexes ... paralysis of all extremity ... and sensitive tests ... #Barre #Syndrome
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Upper Extremity ... , T1 (median) Reflexes ... #UpperLimb #Extremity ... Dermatomes #Myotomes #diagnosis ... sensory #motor #arm #physicalexam
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
When the diagnosis ... assessment, is best ... checked for red reflex ... This reflex is not ... Newborn #Infant #PhysicalExam
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
disease, usually cirrhosis ... seen in Reiter's syndrome ... Abnormal #Pathology #Diagnosis ... Clinical #Signs #PhysicalExam ... GrepMed Recommended Text