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diagnosis differential management neurology cord oncology abscess cancer cauda caudaequina causes compylobacterjejuni disorders emergencies equina escc flaccidpalsy gbs guillainbarresyndrome landrysyndrome
Oncology Algorithm for the Management of Suspected Epidural Spinal Cord Compression (ESCC) Suspected ESCC: Pain, weakness, numbness/paresthesias,
Oncology Algorithm ... Spinal Cord Compression ... bowel/bladder dysfunction ... especially if progressive ... Compression #Algorithm
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Herniated disc • Epidural ... abscess • Epidural ... spondylosis • Epidural ... Bowel and bladder dysfunction ... differential #algorithm
Spinal Epidural Abscess - Illness Script Epidemiology: - Patients at risk for bacteremia: IVDU, dental abscess, HD
Spinal Epidural ... endocarditis, epidural ... triad: Fever, spinal ... deficits - Classic progression ... bladder/ bowel dysfunction
Guillain–Barré syndrome (GBS) (aka: Landry–Guillain–Barré–Strohl syndrome:  Most common cause of acute flaccid paralysis  Rapidly progressive ascending paralysis & areflexia  Autonomic
paralysis  Rapidly progressive ... hyperreflexia, spinal ... CIDP: Chronic progression ...  Spinal Cord ... Compression: Hyperreflexia
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
due to severe compression ... roots of lumbar spine ... bowel and sexual dysfunction ... sequestration • epidural ... : • Surgical decompression
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
bowel or bladder dysfunction ... ) without cord compression ... Autonomic Dysfunction ... Bowel/Bladder dysfunction ... IgG index • Progression
Oncologic Emergencies - Differential Diagnosis Framework HEMATOLOGIC ONCOLOGIC EMERGENCIES: Hyperviscosity Syndrome: • Spontaneous bleeding • Shortness of breath
EMERGENCIES:: Malignant Epidural ... Spinal Cord Compression ... Malignancy: • Progressive
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