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physicalexam differential msk dermatomes knee leg lower motor myotomes sensory spinalcord acute algorithm arm causes clinical comatose cord dislocation disorders
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Anterior Cord Syndrome ... hyperextension -> Upper extremity ... Primarily Upper Extremity ... #Syndromes #diagnosis ... #orthopedics #neurology
Unilateral / Asymmetric Lower Extremity Swelling - Differential Diagnosis Framework Acute: • DVT *Can't Miss Diagnosis •
Asymmetric Lower Extremity ... • Muscle Injury ... Cyst, Cellulitis, Knee ... Regional Pain Syndrome ... Unilateral #Lower #Extremity
Gerstmann Syndrome 1) Finger agnosia - Inability to name their own fingers, affecting both sides 2) Right-left confusion
Gerstmann Syndrome ... Finger agnosia - Inability ... Traumatic Brain Injury ... neudrawlogy #Gerstmann #Syndrome ... #neurology #diagnosis
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Reflexes: • Knee ... • Cauda Equina Syndrome ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #leg #physicalexam
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
- Differential Diagnosis ... bearing after injury ... injuries - Meniscal injury ... #differential #diagnosis ... #msk #physicalexam
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
- Differential Diagnosis ... Repetitive strain injury ... Trauma • Crush injury ... #lower #extremity ... #msk #physicalexam
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential Diagnosis ... below the site of injury ... MCTD, Sjogren syndrome ... , lower extremity ... #neurology #differential
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... Neurologic injuries ... Compartment syndrome ... CLINICAL: instability ... consider compartment syndrome
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 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
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