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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 Equina ... constipation Differential ... perianal region (S2-S4 ... #syndrome #differential
Cardiac Auscultation Practice - S4 Gallop

S4: add this extra heart sounds by tapping first finger twice

Setup:
Auscultation Practice - S4 ... Gallop S4: add
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
Apical Impulse (S4 ... A prominent S4 sound ... The S4 sound is ... Apical #Impulse #S4
Apical Impulse Waveforms on Physical Examination
- Normal
- Sustained Palpable S4
- "Triple Ripple"
- Palpable S3

#Apical #Impulse #Waveforms
Sustained Palpable S4
Lumbar Central Canal Stenosis Grading 
  - Normal - No CSF effacement 
  -
of CSF; cauda equina ... Aggregation of cauda equina
Double Apical Impulse (S4) Visualization on Physical Exam - A small stick taped to the chest
Apical Impulse (S4 ... had a prominent S4 ... Apical #Impulse #S4
Cauda Equina Syndrome:

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

1. Suspect? Investigate. If CES (threatened,
Cauda Equina Syndrome ... DrLindaDykes #Cauda #Equina
Causes of Back Pain - Differential Diagnosis Algorithm
Always assess for red flags. If no red flags,
of Back Pain - Differential ... Symptoms • Cauda Equina ... #BackPain #Differential
Myotomes of the Spinal Cord
Each segmental nerve root innervates more than one muscle. For simplicity, certain
this is the cauda equina ... The cauda equina
Red Flags in Back Pain
 • Cancer: Age > 50, History of cancer, Unexplained weight loss,
use • Cauda equina ... RedFlags #Back #Pain #differential