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Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
Cauda Equina Syndrome ... syndrome (CES) ... • Provocative Tests ... #diagnosis #causes ... #neurology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
and Myotomes Reflexes ... : • Knee - L2 ... Conditions: • Cauda Equina ... Syndrome - Low ... #neurology #sensory
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
paralysis of all extremity ... Can begin in arms ... Decreased / Absent Reflexes ... roots and cauda equina ... #treatment #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Upper Extremity ... , T1 (median) Reflexes ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
depressed deep tendon reflexes ... paralysis of all extremity ... and sensitive tests ... roots and cauda equina ... #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... syphilis, and HIV ... involvement Cauda Equina ... #differential #diagnosis ... #neurology
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
- Differential Diagnosis ... roots -> Cauda equina ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... #neurology #differential
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
When the diagnosis ... for red reflex ... This reflex is not ... The hips are checked ... Newborn #Infant #PhysicalExam