20 results
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
Assessment of Nerve ... • Extension of wrist ... Small muscles of hand ... adduction) OK Sign ... UpperExtremities #diagnosis #neurology
What is a Boxer’s fracture?? Fracture of the 4th or 5th metacarpal neck
 - Common in
Symptoms/exam ... – compartment syndrome ... weeks Urgent orthopedics ... Overlying wounds or signs ... Management #Referral #Orthopedics
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
onto outstretched hand ... variable gross wrist ... , median nerve injury ... carpal tunnel syndrome ... , scapholunate and
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... onto outstretched hand ... anterior interosseous nerve ... can't make A-OK sign ... ), compartment syndrome
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
clumsiness in hands ... rectal reflex. ... pathophysiology #signs ... #symptoms #msk ... #orthopedics #neurology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... , T1 (median) Reflexes ... " ± Horner Syndrome ... Wrist drop - Occurs ... Myotomes #diagnosis #neurology
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 ... • Examine for signs ... #PhysicalExam #neurology
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 ... spine L1-L5 Symptoms ... so-called ‘red flag’ symptoms ... distinguishing feature ... diagnosis #causes #neurology
Cauda Equina Syndrome
Causes:
 • Large lumbar degenerative disc herniation (central)
 • Severe lumbar spondylosis
 • Neoplasm
Cauda Equina Syndrome ... lumbar spine Signs ... of normal leg reflexes ... damage to sacral nerves ... #signs
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
Myotomes Reflexes ... • Cauda Equina Syndrome ... damage to peroneal nerve ... such as fibular fracture ... Myotomes #diagnosis #neurology