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diagnosis differential management physicalexam barre cord extremity guillain motor msk myotomes sensory syndromes acute algorithm arm cauda caudaequina clinical comatose
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 ... None T7-T12 See Dermatomes ... Femoral Condyle Knee ... Sphincter None #SpinalCord ... differential #diagnosis #Neurology
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Acute Spinal Cord ... bladder and rectal reflex ... and #Acute #SpinalCord ... #Injury #Syndromes ... #orthopedics #neurology
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... stroke, Acute spinal ... cord injury Generalized ... cord injury, Early ... diagnosis #table #neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
and Myotomes Reflexes ... : • Knee - L2 ... • Cauda Equina Syndrome ... Commonly caused ... Myotomes #diagnosis #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
Syndromes Spinal ... result in permanent neurologic ... Causes of spinal ... in deep tendon reflexes ... unilateral) #SpinalCord
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
- Emergency Causes ... region (S2-S4 dermatomes ... wink test - reflex ... differential #diagnosis #causes ... #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Cord Causes: 1 ... MCTD, Sjogren syndrome ... reflexes: Areflexia ... #cord #spinalcord ... disorders #diagnosis #neurology
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity Dermatomes ... , T1 (median) Reflexes ... spared in this injury ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology
The following #reflexes are routinely tested, and the response elicited is graded from zero to
of a nerve or spinal ... root injury. ... damage to the pyramidal ... bedridden, the knees ... In abnormal responses
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... Awareness • Injury ... Casey Albin MD @ ... #PhysicalExam #neurology
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