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diagnosis differential physicalexam spinalcord acute algorithm barre cauda caudaequina causes clinical dermatomes disorders equina guillain guillainbarre hemiparesis hoovers injury lowerlimb
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
injury, often from vascular ... Syndrome ->Cord ... clumsiness in hands ... rectal reflex. ... signs #symptoms #msk
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Lower Extremity ... Reflexes: • ... • Cauda Equina Syndrome ... stopping walking (vascular ... Myotomes #diagnosis #neurology
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
Diagnosis: • Spinal cord ... lumbar stenosis • Vascular ... spondylitis • Tethered cord ... reflexes - reduced ... diagnosis #causes #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Vascular/Blockage ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... , lower extremity ... disorders #diagnosis #neurology
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
paralysis of all extremity ... Decreased / Absent Reflexes ... : Arms or legs ... studies - EMG, NCV ... management #treatment #neurology
Hoover's Sign for Functional Lower Extremity Paralysis Used to distinguish organic from functional leg hemiparesis. Ask the patient
Functional Lower Extremity ... Ask the patient ... to flex their weak ... hemiparesis #clinical #video ... #physicalexam #neurology
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