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neurology management differential barre dermatomes extremity motor myotomes physicalexam sensory treatment arm cauda caudaequina emergencies equina gbs guillainbarre leg lowerlimb
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... Epidemiology: • 1-2 cases ... Decreased / Absent Reflexes ... /constipation, hyponatremia ... Diagnosis: •
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Causes of Neuromuscular ... Demyelinating Disease (MS ... Poliomyelitis, Guillain-Barre ... #differential #diagnosis ... #neurology
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
, T1 (median) Reflexes ... hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
compression of nerve ... - Emergency Causes ... cord infarct • HIV ... Tethered cord • Guillain-Barre ... #causes #neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
and Myotomes Reflexes ... • Cauda Equina Syndrome ... Commonly caused ... damage to peroneal nerve ... dysaesthesia, neurogenic
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 ... depressed deep tendon reflexes ... #Barre #Syndrome ... #neurology
Orthopedic Emergencies Compartment Syndrome • An increase in compartment pressure to the point where tissue perfusion is
irreversible muscle and nerve ... • Syndrome caused ... tibia/fibula) and hip ... • Diagnosis: ... Spinal shock vs Neurogenic
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Diagnosis: • Dry ... Hypocomplementemia • Can cause ... myelopathy, cranial nerve ... Membranoproliferative GN • Nephrogenic ... phenomenon (16%) MSK
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Spasticity - Reflexes ... bouts of HTN Diagnostic ... • Infectious causes ... brain and/or optic nerve ... #management #neurology
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