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diagnosis differential management barre nephrology algorithm cauda caudaequina causes dermatomes emergencies equina gbs guillainbarre hemeonc lowerlimb motor myotomes oncologic oncology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
and Myotomes Reflexes ... • Cauda Equina Syndrome ... - Low back pain ... dysaesthesia, neurogenic ... Myotomes #diagnosis #neurology
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... paralysis of all extremity ... Decreased / Absent Reflexes ... /constipation, hyponatremia ... #neurology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
• Euvolemic (Low ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... Workup #Algorithm #nephrology ... #sodium
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
, Dehydration: neurologic ... Diabetes Insipidus: neurogenic ... , nephrogenic 4 ... patient weight (eg ... #sodium
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
symptoms: • Severe low ... Tethered cord • Guillain-Barre ... reflexes - reduced ... axial T1 and T2 Treatment ... diagnosis #causes #neurology
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
Guillain-Barré Syndrome ... depressed deep tendon reflexes ... paralysis of all extremity ... and cauda equina TREATMENT ... diagnosis #management #neurology
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
Emergencies Neutropenic ... acid, high LDH, low ... high d-dimer, low ... 100 - Consider TEG ... dyspnea, upper-extremity
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