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Common Lumbar Root Syndromes

#Diagnosis #Radiculopathy #Lumbar #NerveRoot #Sensory #Motor #Deficits #Reflexes #Table
Common Lumbar Root ... Syndromes #Diagnosis ... Radiculopathy #Lumbar ... Motor #Deficits #Reflexes
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
spine L1-L5 Symptoms ... so-called ‘red flag’ symptoms ... Differential Diagnosis ... wink test - reflex ... #differential #diagnosis
Cauda Equina Syndrome
Causes:
 • Large lumbar degenerative disc herniation (central)
 • Severe lumbar spondylosis
 • Neoplasm
Cauda Equina Syndrome ... spine Signs / Symptoms ... of normal leg reflexes ... pathophysiology #diagnosis ... #symptoms #signs
Freiberg's Test for Piriformis Syndrome

Flex the hip to 90 degrees, internally rotate the hip.
Pain in the
for Piriformis Syndrome ... Flex the hip ... #Piriformis #syndrome ... Test #sciatica #lumbar ... clinical #video #physicalexam
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
Diagnostic Testing ... : Non-specific Kernig ... and legs will flex ... ; Spec: 60-80% Lumbar ... #testing #physicalexam
Meralgia paresthetica: Pathogenesis and Clinical Findings
Compression/injury of Lateral Femoral Cutaneous Nerve (LFCN) -> Meralgia paresthetica
 •
paresthetica • Symptoms ... sensory • Before diagnosis ... spinal stenosis, lumbar ... gait, strength, reflexes ... #differential #diagnosis
Myoedema in Hypothyroidism on Physical Exam

Hypothyroidism is a clinical syndrome resulting from the production, secretion or
is a clinical syndrome ... varied clinical symptoms ... There are several symptoms ... abolished tendon reflexes ... Hypothyroidism #PhysicalExam
Hypothyroidism – symptoms and signs.

Symptoms: 
Tiredness/malaise, 
Weight gain,
Anorexia,
Cold intolerance, 
Poor memory,
Change in appearance, 
Depression, 
Poor libido,
Hypothyroidism – symptoms ... Symptoms: Tiredness ... Carpal timel syndrome ... Slow-relaxing reflexes ... #Diagnosis #PhysicalExam
Radiculopathy: Signs and Symptoms
 • Back/Neck Pain
 • Decr Range of motion
 • Abnormal posturing
 •
Radiculopathy: Signs and Symptoms ... • Decr tendon reflexes ... further pulls on lumbar ... Radiculopathy #MSK #diagnosis ... #signs #symptoms
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... caseyalbin #PhysicalExam ... neurology #comatose #diagnosis