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diagnosis neurology cord extremity leg physicalexam spinalcord algorithm cauda caudaequina causes clinical dermatomes disorders infected joint lesions lowerlimb motor myotomes
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 ... constipation Differential ... infection/abscess ... distinguishing feature ... #syndrome #differential
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Lower Extremity ... L2, L3, L4 • Ankle ... Conditions: • Cauda Equina ... Syndrome - Low back pain ... such as fibular fracture
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential ... continence • Pain ... spasticity • Lower ... roots -> Cauda equina ... compression by fractured
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Leg Pain - Differential ... : • Fracture ... deficiency etc) • Spinal ... diagnosis #lower ... #extremity #msk
Purulent Ankle Joint on POCUS Young patient 2 weeks status post ORIF of ankle fracture presents with
on POCUS Young ... fracture presents ... with ankle pain ... #msk #infected ... #pus #abscess #tibiotalar
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 Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
stenosis - Abscess ... Weakness - Lower ... Vertebral burst fracture ... involvement Cauda Equina ... syndromes #lesions #differential
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