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diagnosis differential physicalexam spinalcord cord dermatomes extremity myotomes spinal syndromes acute algorithm arm clinical dislocation disorders knee leg lesions lowerlimb
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
, often from vascular ... Sensory loss below ... clumsiness in hands ... rectal reflex. ... signs #symptoms #msk
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
• Locked-in syndrome ... Awareness • Injury ... /Sensory: • Tone ... Casey Albin MD @ ... #PhysicalExam #neurology
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Myotomes Motor ... , T1 (median) Reflexes ... spared in this injury ... Myotomes #diagnosis #neurology ... #sensory #motor
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Myotomes Reflexes ... • Cauda Equina Syndrome ... Commonly caused ... stopping walking (vascular ... #sensory #motor
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... Weakness - Lower motor ... lesion - Upper motor ... at the level of sensory ... in deep tendon reflexes
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Non-compressive Spinal Cord Causes ... Vascular/Blockage ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... disorders #diagnosis #neurology
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... Spasticity - Reflexes ... , motor, or autonomic ... • Infectious causes ... diagnosis #management #neurology
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
DISLOCATION: ~25% cases ... Neurologic deficit ... Neurologic injuries ... #msk #clinical ... #video #nsfw
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