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msk pathophysiology symptoms differential management acute caudaequina clinical extremity gravis hemiparesis hoovers injury lfcn lower meningitis meralgiaparesthetica myasthenia myelitis orthopedics
Cauda Equina Syndrome Causes: • Large lumbar degenerative disc herniation (central) • Severe lumbar spondylosis • Neoplasm
spine Signs / ... loss of normal leg ... CaudaEquina #Syndrome #MSK ... pathophysiology #diagnosis ... #symptoms #signs
Radiculopathy: Signs and Symptoms • Back/Neck Pain • Decr Range of motion • Abnormal posturing •
Radiculopathy: Signs ... : • Straight leg ... further pulls on lumbar ... Radiculopathy #MSK ... #diagnosis #signs
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
Diagnostic Testing for Meningitis History: • Triad: Fever, neck stiffness, and altered mental status • Sens: 44%
: • Leg extension ... 95% Brudzinski Sign ... flex neck and legs ... ; Spec: 60-80% Lumbar ... #testing #physicalexam
Meralgia paresthetica: Pathogenesis and Clinical Findings Compression/injury of Lateral Femoral Cutaneous Nerve (LFCN) -> Meralgia paresthetica •
sensory • Before diagnosis ... spinal stenosis, lumbar ... Negative Straight Leg ... MeralgiaParesthetica #MSK ... #signs #symptoms
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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 Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
saddle anesthesia. leg ... Injury #Syndromes #diagnosis ... pathophysiology #signs ... #symptoms #msk ... #orthopedics #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
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
over a five to ten-year ... flexors of the legs ... bouts of HTN Diagnostic ... • Bilateral signs ... #management #neurology
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