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differential spinalcord physicalexam syndromes algorithm cord dermatomes leg msk myotomes spinal acute arm causes comatose disorders evaluation falls geriatrics hemiplegia
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
hyperextension -> Upper extremity ... Sensory loss below ... Primarily Upper Extremity ... #Syndromes #diagnosis ... #orthopedics #neurology
Incomplete Spinal Cord Syndromes Anterior Cord Syndrome: • Bilateral loss of motor, pain and temperature sensation below
Bilateral loss of motor ... below level of injury ... : • Sensory and ... motor deficit ... #Diagnosis #Neurology
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 Hemiplegia - Differential Diagnosis Algorithm Cerebral Hemisphere (Contralateral motor cortex) • Aphasia • Apraxia •
- Differential Diagnosis ... (Contralateral motor ... contralateral extremity ... Brown-Sequard Syndrome ... #Hemiplegia #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 Injury by Nerve Root Levels Spinal Root Sensory Motor Reflex C4 Acromioclavicular Joint Respiration None C5 Radial Antecubital Fossa Elbow Flexion Biceps Reflex C6 Dorsal Thumb Wrist Extension Brachioradialis Reflex C7 Dorsal
Spinal Cord Injury ... Levels Spinal Root Sensory ... Motor Reflex C4 ... #differential #diagnosis ... #Neurology #Spine
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... Weakness - Lower motor ... lesion - Upper motor ... #differential #diagnosis ... #neurology
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
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
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... /Sensory: • Tone ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
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