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Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
Lower Extremity ... Dermatomes and Myotomes ... Reflexes: • ... Commonly caused ... sensory #motor #leg #physicalexam
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Upper Extremity ... Dermatomes and Myotomes ... , T1 (median) Reflexes ... Triceps power is ... sensory #motor #arm #physicalexam
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
- Emergency Causes ... constipation Differential ... extremity reflexes ... #diagnosis #causes ... #neurology
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Limb ischemia • Aortic ... refill - Poor pulses ... #diagnosis #lower ... #physicalexam
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
Cord Disorders - Differential ... spasticity • Lower ... Non-compressive Spinal Cord Causes ... dysfunction • Abnormal reflexes ... , lower extremity
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... movement followed by slower ... Casey Albin MD @ ... caseyalbin #PhysicalExam ... #neurology #comatose
Upper Motor Neuron (UMN) lesions are lesions occurring anywhere in the CNS from the brain up
Lower motor neuron ... form part of the differential ... Similarly, the damaged lower ... very different ... positive Babinski reflex
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
- Causes progressive ... segment: Upper extremity ... , lower extremity ... Increased Jaw Jerk reflex ... conditions listed in differential
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Vasculitides - Differential ... the upper and lower ... tract, and often causes ... diminished, or tender pulses ... extremities, upper extremity