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differential spinalcord extremity motor msk myotomes sensory spinal algorithm arm cauda caudaequina clinical dislocation disorders effusions emergencies equina leg lesions
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
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity Dermatomes ... spared in this injury ... #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
- Spinal Cord Syndromes ... result in permanent neurologic ... syphilis, and HIV ... #differential #diagnosis ... #neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Reflexes: • Knee ... • Cauda Equina Syndrome ... Commonly caused ... #Myotomes #diagnosis ... #neurology #sensory
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
Causes of Knee Effusions ... - Differential Diagnosis ... bearing after injury ... #Effusions #causes ... #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 ... : • Spinal cord ... infarct • HIV ... region (S2-S4 dermatomes ... #causes #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential Diagnosis ... below the site of injury ... Causes: 1. ... MCTD, Sjogren syndrome ... #neurology #differential
Orthopedic Emergencies Compartment Syndrome • An increase in compartment pressure to the point where tissue perfusion is
Orthopedic Emergencies ... • Syndrome caused ... tibia/fibula) and hip ... after an acute injury ... • Diagnosis:
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
DISLOCATION: ~25% cases ... Neurologic deficit ... Neurologic injuries ... Check hip and ankle ... trauma/vascular/orthopedic
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