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diagnosis differential orthopedics syndromes management msk physicalexam cord dermatomes extremity incomplete injury myotomes radiology sensory spinal xray acute algorithm anesthesia
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 Root Sensory Motor ... Antecubital Fossa Elbow ... Middle Finger Elbow ... Sphincter None #SpinalCord ... differential #diagnosis #Neurology
Incomplete Spinal Cord Syndromes Anterior Cord Syndrome: • Bilateral loss of motor, pain and temperature sensation below
Bilateral loss of motor ... • Sensory and motor ... Ipsilateral loss of motor ... #Incomplete #SpinalCord ... #Neurology
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Complete loss of motor ... upper and lower motor ... bladder and rectal reflex ... and #Acute #SpinalCord ... #orthopedics #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
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... or brainstem Motor ... flexed at the elbow ... #PhysicalExam #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 ... Weakness - Lower motor ... lesion - Upper motor ... Vertebral burst fracture ... unilateral) #SpinalCord
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
and Myotomes Motor ... - C6, C7, C8 Elbow ... , T1 (median) Reflexes ... Myotomes #diagnosis #neurology ... #sensory #motor
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
Incomplete spinal cord syndromes (ISCS) • Central - Small Lesion - Suspended sensory deficit, classic cape
Incomplete spinal cord syndromes ... Disproportionate motor ... ISCS #Incomplete #spinalcord ... #syndromes #diagnosis ... #neurology
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