13 results
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
common elbow fracture ... ), compartment syndrome ... • ED Management ... Posterior long arm • Ortho ... Type l, DC with ortho
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
distinguishing feature ... lower extremity reflexes ... bulbocavernosus reflex ... wink test - reflex ... diagnosis #causes #neurology
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Exam: swollen elbow ... ), compartment syndrome ... I or Ill) • Ortho ... • Nonoperative managernent ... XRay #Diagnosis #Management
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
Syndromes Spinal ... result in permanent neurologic ... involved) - Tendon reflex ... in deep tendon reflexes ... Vertebral burst fracture
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
and Myotomes Reflexes ... • Cauda Equina Syndrome ... such as fibular fracture ... Myotomes #diagnosis #neurology ... sensory #motor #leg #physicalexam
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
after long bone fractures ... fibula) and hip fractures ... stabilization of long bone fractures ... cord function and reflex ... bulbocarvenosus reflex
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... flexed at the elbow ... caseyalbin #PhysicalExam ... #neurology #comatose
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
Spinal Cord Disorders ... compression by fractured ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... disorders #diagnosis #neurology
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
lesion at the C5-C6 spinal ... normally elicits elbow ... Supinator #Test #Reflex ... #neurology #clinical ... #video #physicalexam
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
- C6, C7, C8 Elbow ... , T1 (median) Reflexes ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam