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diagnosis differential cord dermatomes extremity injury motor msk myotomes orthopedics sensory syndromes acute algorithm arm cauda caudaequina causes clinical comatose
Spinal Cord Injury by Nerve Root Levels Spinal Root Sensory Motor Reflex C4 Acromioclavicular Joint Respiration None C5 Radial Antecubital Fossa Elbow Flexion Biceps Reflex C6 Dorsal Thumb Wrist Extension Brachioradialis Reflex C7 Dorsal
Spinal Cord Injury ... Antecubital Fossa Elbow ... Middle Finger Elbow ... Sphincter None #SpinalCord ... differential #diagnosis #Neurology
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Acute Spinal Cord ... -> Anterior spinal ... bladder and rectal reflex ... and #Acute #SpinalCord ... #orthopedics #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
Syndromes Spinal ... result in permanent neurologic ... in deep tendon reflexes ... Vertebral burst fracture ... unilateral) #SpinalCord
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
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
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
compression by fractured ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... #cord #spinalcord ... disorders #diagnosis #neurology
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
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
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 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
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