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Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
Cauda Equina Syndrome ... Overview Cauda ... Symptoms - Cauda ... perianal region (S2-S4 ... #CaudaEquina #Cauda
Lumbar Central Canal Stenosis Grading 
  - Normal - No CSF effacement 
  -
effacement of CSF; cauda ... Aggregation of cauda ... Lumbar #Central #Spinal ... #Stenosis #Spine
Myotomes of the Spinal Cord
Each segmental nerve root innervates more than one muscle. For simplicity, certain
Myotomes of the Spinal ... Note that the spinal ... below this is the cauda ... The cauda equina ... injury than the spinal
Double Apical Impulse (S4) Visualization on Physical Exam - Hi-Res Video Version: https://www.grepmed.com/images/7802/physicalexam-cardiology-impulse-double-gallop-apical-signs

On palpation, the PMI
Double Apical Impulse ... (S4) Visualization ... A prominent S4 sound ... The S4 sound is ... #Impulse #S4 #Gallop
Apical Impulse Waveforms on Physical Examination
- Normal
- Sustained Palpable S4
- "Triple Ripple"
- Palpable S3

#Apical #Impulse #Waveforms
Apical Impulse Waveforms ... Sustained Palpable S4 ... Palpable S3 #Apical
Double Apical Impulse (S4) Visualization on Physical Exam - A small stick taped to the chest
Double Apical Impulse ... (S4) Visualization ... had a prominent S4 ... #Double #Apical ... #Impulse #S4 #Gallop
Cauda Equina Syndrome:

Top tips to save your arse (and your patient’s!)

1. Suspect? Investigate. If CES (threatened,
Cauda Equina Syndrome ... Don’t call spinal ... DrLindaDykes #Cauda
Lumbar stenosis guide we created to implement consistent radiology reporting across our multi-hospital network. 
Lumbar Central
effacement of CSF; cauda ... Aggregation of cauda ... MarkMamloukMD #Lumbar #Spinal ... #Stenosis #Spine
Spinal Cord Injury by Nerve Root Levels
Spinal Root	Sensory	Motor	Reflex
C4	Acromioclavicular Joint	Respiration	None
C5	Radial Antecubital Fossa	Elbow Flexion	Biceps Reflex
C6	Dorsal Thumb	Wrist Extension	Brachioradialis Reflex
C7	Dorsal
Spinal Cord Injury ... Nerve Root Levels Spinal ... Bulbocavernosus S3/S4 ... diagnosis #Neurology #Spine
Orthopedic Essentials - Spinal Trauma and Spine Classification 
DENIS THREE COLUMN CONCEPT
Anterior column:
Orthopedic Essentials - Spinal ... Trauma and Spine ... CLASSIFICATION OF SPINAL ... injury 3 Cauda ... operative #Spinal