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differential management clinical physicalexam barre cauda comatose compylobacterjejuni dislocation equina flaccidpalsy gravis guillain guillainbarresyndrome hearing injury knee landrysyndrome loss myasthenia
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
One and a Half Syndrome ... and a Half Syndrome ... MRI was ordered ... the hospital, diagnosed ... #Half #Syndrome
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 Guillain–Barré syndrome (GBS) (aka: Landry–Guillain–Barré–Strohl syndrome:  Most common cause of acute flaccid paralysis  Rapidly progressive ascending paralysis & areflexia  Autonomic
Guillain–Barré syndrome ... syndrome:  Most ... common cause of ... Differential diagnosis ...  West Nile virus
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 ... tested earlier than one ... and sensitive tests ... #neurology
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 ... • Provocative Tests ... Imaging studies: • MRI ... decompression #CaudaEquina ... #causes #neurology
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
PCB variants of GBS ... myasthenia Diagnosis ... Bedside: ice pack test ... /Edrophonium test ... #management #neurology
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
- Differential Diagnosis ... include a: • Neurologic ... cause unknown) ... II ○ Susac’s syndrome ... Noise trauma ○ MS
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
bouts of HTN Diagnostic ... signal change on ... Transverse Myelitis Diagnosis ... negative, MOG-IgG test ... #management #neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... Casey Albin MD @ ... #PhysicalExam #neurology
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... rule out based on ... nerve injury (25%) TEST ... Posterior #Injury #msk ... #clinical #video
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