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differential management cauda caudaequina clinical dermatomes equina extremity guillain guillainbarre half hearing lesions loss lowerlimb myelitis myotomes neuromuscular one oneandahalf
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Weakness • Spinal Cord ... Trauma, Tumor • Motor ... Poliomyelitis, Guillain-Barre ... #differential #diagnosis ... #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
- Spinal Cord Syndromes ... result in permanent neurologic ... multiradicular pain - Leg ... #differential #diagnosis ... #neurology
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... Diagnosis: • ... axonal form • MRI ... #Syndrome #diagnosis ... management #treatment #neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
L2, L3, L4 • Ankle ... • Cauda Equina Syndrome ... Commonly caused ... #neurology #sensory ... #motor #leg #physicalexam
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
flexors of the legs ... bouts of HTN Diagnostic ... : • Sensory, motor ... Transverse Myelitis Diagnosis ... #management #neurology
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
: • Spinal cord ... infarct • HIV ... • Guillain-Barre ... Imaging studies: • MRI ... #causes #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
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 Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
- Differential Diagnosis ... include a: • Neurologic ... II ○ Susac’s syndrome ... Noise trauma ○ MS ... Labyrinthitis ○ Epstein-Barr
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Sensory and/or motor ... arthralgia, arm/leg ... of shoulder and hip ... oligoclonal bands • MRI ... tract, and often causes
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