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diagnosis differential neurology management barre cord hyperkalemia spinalcord algorithm caudaequina disorders emergencies equina gbs guillainbarre hyperreflexia hyporeflexia lesions orthopedics syndromes
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... stroke, Acute spinal ... cord injury Generalized ... Guillain-Barré syndrome ... cord injury, Early
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
Cauda Equina Syndrome ... - Emergency Causes ... Tethered cord • Guillain-Barre ... axial T1 and T2 Treatment ... #neurology
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... Decreased / Absent Reflexes ... of intrathecal spinal ... nerve roots and cauda ... #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
Syndromes Spinal ... Causes of spinal ... involved) - Tendon reflex ... in deep tendon reflexes ... involvement Cauda
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
Guillain-Barré Syndrome ... Incidence: 1 to 2 cases ... depressed deep tendon reflexes ... nerve roots and cauda ... equina TREATMENT
Orthopedic Emergencies Compartment Syndrome • An increase in compartment pressure to the point where tissue perfusion is
• Syndrome caused ... after an acute injury ... Diagnosis: requires a high ... cord function and reflex ... bulbocarvenosus reflex
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
below the site of injury ... Lower roots -> Cauda ... Cord Causes: 1 ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• Trauma/Crush injury ... - Tumor lysis syndrome ... • Vegetables: spinach ... #potassium #high ... #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• Trauma/Crush injury ... - Tumor lysis syndrome ... • Vegetables: spinach ... #potassium #high ... #nephrology
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