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Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Anterior Cord Syndrome ... Loss of pain and ... Extremity Dysfunction (pain ... level of iniury, pain ... reflex. saddle anesthesia
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
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
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 Causes: • Large lumbar degenerative disc herniation (central) • Severe lumbar spondylosis • Neoplasm
Cauda Equina Syndrome ... Incontinence • Saddle Anesthesia ... • Neuropathic pain ... lancinating, burning pain ... #CaudaEquina #Syndrome
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
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
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
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
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
: - Loss of pain ... Bilateral loss of pain ... Impotence - Saddle anesthesia ... multiradicular pain ... loss - Saddle anesthesia
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