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differential management msk extremity pathophysiology spinalcord symptoms acute caudaequina clinical comatose dermatomes gravis hemiparesis hoovers incomplete injury iscs lower lowerlimb
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Diagnosis Framework ... Joint Causes of Leg ... Ewing sarcoma • Legg-Calve-Perthes ... lower #extremity #msk ... #physicalexam
Cauda Equina Syndrome Causes: • Large lumbar degenerative disc herniation (central) • Severe lumbar spondylosis • Neoplasm
Cauda Equina Syndrome ... loss of normal leg ... #MSK #pathophysiology ... #diagnosis #symptoms ... #signs
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
saddle anesthesia. leg ... #diagnosis #pathophysiology ... #signs #symptoms ... #msk #orthopedics ... #neurology
Incomplete spinal cord syndromes (ISCS) • Central - Small Lesion - Suspended sensory deficit, classic cape
Incomplete spinal cord syndromes ... positive Romberg sign ... multiradicular pain, leg ... Incomplete #spinalcord #syndromes ... #diagnosis #neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
• Cauda Equina Syndrome ... and bilateral leg ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #leg #physicalexam
Hoover's Sign for Functional Lower Extremity Paralysis Used to distinguish organic from functional leg hemiparesis. Ask the patient
from functional leg ... flex their weak leg ... transmitted to either leg ... Leg #Paralysis # ... #neurology #psychiatry
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 Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
• Or brainstem syndromes ... Multiple Sclerosis Diagnosis ... lesions) McDonald diagnostic ... objective evidence of neurologic ... #management #neurology
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
weakness, arms > legs ... myasthenia Diagnosis ... test - Cogan sign ... - Peek sign ... #management #neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Examine for signs ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
- Differential Diagnosis ... purpura: Strong sign ... arthralgia, arm/leg ... affects the skin, neurologic ... purpura (lower legs
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