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differential physicalexam spinalcord syndromes cord dermatomes leg motor msk myotomes spinal acute algorithm arm cauda caudaequina causes comatose disorders edema
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Sensory loss below ... Primarily Upper Extremity ... Mixed upper and lower ... #Syndromes #diagnosis ... #orthopedics #neurology
Unilateral / Asymmetric Lower Extremity Swelling - Differential Diagnosis Framework Acute: • DVT *Can't Miss Diagnosis •
Unilateral / Asymmetric Lower ... Extremity Swelling ... • Muscle Injury ... Cyst, Cellulitis, Knee ... Regional Pain Syndrome
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Lower Extremity ... Reflexes: • Knee ... • Cauda Equina Syndrome ... #neurology #sensory ... #motor #leg #physicalexam
Incomplete Spinal Cord Syndromes Anterior Cord Syndrome: • Bilateral loss of motor, pain and temperature sensation below
below level of injury ... • Hyperflexion injury ... : • Sensory and ... affected more than lower ... #Diagnosis #Neurology
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
and/or genital sensory ... Differential Diagnosis ... and sensory disturbances ... #differential #diagnosis ... #causes #neurology
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 ... spasticity • Lower ... MCTD, Sjogren syndrome ... , lower extremity ... #neurology #differential
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
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... Weakness - Lower ... at the level of sensory ... #differential #diagnosis ... #neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... brainstem Motor/Sensory ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
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