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Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
- Differential ... neurological lesion: Clinical ... decreased muscle tone ... compression by fractured ... , lower extremity
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
constipation Differential ... Diagnosis: • Spinal cord ... spondylitis • Tethered cord ... distinguishing feature ... decreased rectal tone
Lower Extremity Tone on Physical Exam
Assessing motor function of the lower extremities begins with passive range
Lower Extremity ... Tone on Physical ... function of the lower ... #PhysicalExam #clinical ... #video #peds #pediatrics
Tone - Leg Traction on Physical Exam
Leg traction is done by holding the leg by the
Tone - Leg Traction ... Leg #Traction #Lower ... #Extremity #tone ... #PhysicalExam #clinical ... #video #peds #pediatrics
Tone - Leg Recoil on Physical Exam
To test leg recoil, the legs are fully flexed on
Tone - Leg Recoil ... #Leg #Recoil #Lower ... #Extremity #tone ... #PhysicalExam #clinical ... #video #peds #pediatrics
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Pediatric Trauma ... Tourniquet for extremity ... potential pelvic fracture ... ↓BP, Abnormal tone ... concern for spinal cord
Tourniquet Application
1. If in a dangerous situation or difficult situation, place TQs high and tight (military
CAN place in 2-bone ... like forearms and lower ... proximal to open fractures ... #video #procedure ... #trauma #ems #nsfw