10 results
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... paralysis of all extremity ... axonal form • MRI ... #Syndrome #diagnosis ... management #treatment #neurology
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Diagnosis Framework ... Herpes zoster - HIV ... #differential #diagnosis ... #lower #extremity ... #msk #physicalexam
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Cauda Equina Syndrome ... Commonly caused ... claudication and weakness ... #neurology #sensory ... #motor #leg #physicalexam
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 ... paralysis of all extremity ... #Syndrome #diagnosis ... #management #neurology
Hoover's Sign for Functional Lower Extremity Paralysis

Used to distinguish organic from functional leg hemiparesis.

Ask the patient
Functional Lower Extremity ... at the hip. ... hemiparesis #clinical #video ... #physicalexam # ... neurology #psychiatry
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Upper Extremity ... anesthesia and deltoid weakness ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
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 ... cord • Guillain-Barre ... weakness and sensory ... Imaging studies: • MRI ... #causes #neurology
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Weakness: - Weakness ... flexors of the legs ... bouts of HTN Diagnostic ... • Infectious causes ... #management #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
the follow up video ... MRI was ordered ... the hospital, diagnosed ... #PhysicalExam # ... ophthalmology #neurology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
arthralgia, arm/leg ... of shoulder and hip ... Myalgia and muscle weakness ... oligoclonal bands • MRI ... tract, and often causes