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Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
Spinal Cord Disorders ... - Differential ... lesion: Clinical ... decreased muscle tone ... compression by fractured
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
cord - Spinal Cord ... Weakness - Lower ... If the spinal cord ... Vertebral burst fracture ... #lesions #differential
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 ... cord infarct ... spondylitis • Tethered cord ... distinguishing feature ... decreased rectal tone
Upper Motor Neuron (UMN) lesions are lesions occurring anywhere in the CNS from the brain up
Lower motor neuron ... form part of the differential ... syndromes are clinically ... very different clinical ... response of the big toe
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Pediatric Trauma ... potential pelvic fracture ... ↓BP, Abnormal tone ... cord injury ... #Pediatrics #Trauma
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit can signal ... Dorsiflexion of foot, Toe ... CLINICAL: instability ... #Injury #msk #clinical ... #video #nsfw
Tourniquet Application
1. If in a dangerous situation or difficult situation, place TQs high and tight (military
superior iliac spine ... CAN place in 2-bone ... proximal to open fractures ... #video #procedure ... #trauma #ems #nsfw