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differential management extremity barre caudaequina comatose dermatomes gravis guillain guillainbarre lower lowerlimb motor myasthenia myelitis myotomes pain rheumatology sensory signs
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Diagnosis Framework ... Causes of Leg Pain ... #differential #diagnosis ... lower #extremity #msk ... #physicalexam
Cauda Equina Syndrome Causes: • Large lumbar degenerative disc herniation (central) • Severe lumbar spondylosis • Neoplasm
Cauda Equina Syndrome ... Causes: • Large ... damage to sacral nerves ... #MSK #pathophysiology ... #diagnosis #symptoms
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
• Cauda Equina Syndrome ... Commonly caused ... damage to peroneal nerve ... #neurology #sensory ... #motor #leg #physicalexam
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Epidemiology: • 1-2 cases ... Guillain-Barre Pathophysiology ... Weakness: Starts in legs ... Reflexes: Arms or legs ... #treatment #neurology
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
weakness, arms > legs ... Brain stem/Cranial nerve ... myasthenia Diagnosis ... - Repetitive nerve ... #management #neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Mutism Pathophysiology ... threat Cranial Nerves ... caseyalbin #PhysicalExam ... #neurology #comatose
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
monophasic Pathophysiology ... flexors of the legs ... bouts of HTN Diagnostic ... brain and/or optic nerve ... #management #neurology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
arthralgia, arm/leg ... affects the skin, neurologic ... muscle weakness • Nerves ... tract, and often causes ... purpura (lower legs
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