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neurology diagnosis physicalexam differential clinical management barre cord dermatomes elys extremity femoris motor myotomes orthopedics rectus spinal spinalcord sports test
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... Can begin in arms ... Decreased / Absent Reflexes ... : Arms or legs ... /constipation, hyponatremia
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
, T1 (median) Reflexes ... hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... #sensory #motor ... #arm #physicalexam
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
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 ... and/or genital sensory ... - Emergency Causes ... Tethered cord • Guillain-Barre ... #neurology
Orbicularis Reflex in an Alzheimer's Patient on Physical Exam Alzheimer's is a degenerative, progressive and irreversible disease.
time, and can cause ... strike the upper lip ... The nerves involved ... are trigeminal and ... #neurology
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 Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
syphilis, and HIV ... at the level of sensory ... involved) - Tendon reflex ... in deep tendon reflexes ... paralysis - Sensory
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 ... immunodeficiency virus (HIV ... depressed deep tendon reflexes ... #Barre #Syndrome
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... threat Cranial Nerves ... brainstem Motor/Sensory ... Casey Albin MD @
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
extensors of the arms ... Spasticity - Reflexes ... brain and/or optic nerve ... , Hep A/B/CMV, TB ... diagnosis #management #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Non-compressive Spinal Cord Causes ... Viral: VZV, HSV, HIV ... Blood Supply: - AVM ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes
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