11 results
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
hyperextension -> Upper extremity ... Primarily Upper Extremity ... #Syndromes #diagnosis ... symptoms #msk #orthopedics ... #neurology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
Lower Extremity ... Reflexes: • Knee ... • Cauda Equina Syndrome ... #diagnosis #neurology ... sensory #motor #leg #physicalexam
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Upper Extremity ... Dermatomes and Myotomes ... spared in this injury ... #diagnosis #neurology ... sensory #motor #arm #physicalexam
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 ... None T7-T12 See Dermatomes ... Anterior Medial Thigh Hip ... #differential #diagnosis ... #Neurology #Spine
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Differential Diagnosis ... bearing after injury ... injuries - Meniscal injury ... #differential #diagnosis ... #msk #physicalexam
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
(CES) is usually ... Differential Diagnosis ... cord infarct • HIV ... region (S2-S4 dermatomes ... #causes #neurology
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... Herpes zoster - HIV ... Trauma • Crush injury ... #lower #extremity ... #msk #physicalexam
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
DTR’s • Onset: Few ... paralysis of all extremity ... Guillain-Barre Diagnosis ... #diagnosis #management ... #treatment #neurology
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
- Differential Diagnosis ... below the site of injury ... MCTD, Sjogren syndrome ... , lower extremity ... #neurology #differential
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... Neurologic injuries ... Check hip and ankle ... Compartment syndrome ... trauma/vascular/orthopedic