39 results
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
Loss of pain and ... Extremity Dysfunction (pain ... level of iniury, pain ... reflex. saddle anesthesia ... symptoms #msk #orthopedics
Compartment Syndrome - 5 P's for circulation assessment

pain, pallor (pale skin tone), paresthesia (numbness feeling), pulselessness
Compartment Syndrome ... assessment pain ... pale skin tone), paresthesia ... #Compartment #Syndrome
Freiberg's Test for Piriformis Syndrome

Flex the hip to 90 degrees, internally rotate the hip.
Pain in the
for Piriformis Syndrome ... Pain in the sciatic ... #Piriformis #syndrome ... #msk #sports #orthopedics
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
syndrome • Arthritis ... Tarsal tunnel syndrome ... • Compartment syndrome ... Iliotibial band syndrome ... Paralysis 4) Paresthesia
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Patient Specific, Pain ... Syndrome-Targeted ... Sergey Motov @painfreeED ... Algorithm #Management #Pain
Cauda Equina Syndrome
Causes:
 • Large lumbar degenerative disc herniation (central)
 • Severe lumbar spondylosis
 • Neoplasm
Cauda Equina Syndrome ... Incontinence • Saddle Anesthesia ... • Neuropathic pain ... lancinating, burning pain ... #CaudaEquina #Syndrome
Causes of Back Pain - Differential Diagnosis Algorithm
Always assess for red flags. If no red flags,
Causes of Back Pain ... dysfunction, saddle paresthesia ... deficits, nocturnal pain ... • Cauda Equina Syndrome
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
Severe low back pain ... • S - Saddle anesthesia ... • P - Pain ... • after spinal anaesthesia ... - lower back pain
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
Scotoma, Ocular pain ... /pain upon eye movement ... Other brainstem syndromes ... deficits ranging from paresthesia ... dysfunction, Neuropathic pain
Cubital Tunnel Syndrome: Pathogenesis and clinical findings

 • Paresthesia of 5th and medial half of 4th
Cubital Tunnel Syndrome ... findings • Paresthesia ... hand and elbow pain ... CubitalTunnel #Syndrome