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diagnosis orthopedics differential management msk physicalexam syndromes cord dermatomes extremity injury motor myotomes radiology sensory spinal xray acute algorithm arm
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
Sensory Motor Reflex ... Antecubital Fossa Elbow ... Middle Finger Elbow ... Sphincter None #SpinalCord ... differential #diagnosis #Neurology
Supracondylar Elbow Fracture • Most common elbow fracture in children, peak age 5-7 • When looking at
Fracture • Most ... common elbow fracture ... ), compartment syndrome ... Posterior long arm • Ortho ... Type l, DC with ortho
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Anterior Cord Syndrome ... bladder and rectal reflex ... . saddle anesthesia ... and #Acute #SpinalCord ... #orthopedics #neurology
Monteggia Fracture Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Monteggia Fracture ... Fracture of proximal ... Exam: swollen elbow ... ), compartment syndrome ... I or Ill) • Ortho
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... in deep tendon reflexes ... Vertebral burst fracture ... loss - Saddle anesthesia ... 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 •
• S - Saddle anesthesia ... distinguishing feature ... 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 ... saddle (perineal) anesthesia ... such as fibular fracture ... Myotomes #diagnosis #neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... • Gag reflex ... flexed at the elbow ... #PhysicalExam #neurology
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 ... regimental badge" anesthesia ... Myotomes #diagnosis #neurology
Incomplete spinal cord syndromes (ISCS) • Central - Small Lesion - Suspended sensory deficit, classic cape
Incomplete spinal cord syndromes ... dysfunction, saddle anesthesia ... ISCS #Incomplete #spinalcord ... #syndromes #diagnosis ... #neurology
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