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diagnosis physicalexam differential cord extremity motor myotomes pupil spinal spinalcord algorithm anisocoria arm cauda caudaequina clinical comatose disorders equina leg
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... Diagnosis: • CN Ill Palsy ... dissociation • Other causes ... #PhysicalExam #neurology ... #ophthalmology
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity Dermatomes ... , T1 (median) Reflexes ... Saturday night palsy ... Myotomes #diagnosis #neurology ... #sensory #motor
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Lower Extremity Dermatomes ... and Myotomes Reflexes ... • Cauda Equina Syndrome ... Commonly caused ... Myotomes #diagnosis #neurology
Mydriasis and Miosis - Differential Diagnosis Framework Causes of Mydriasis: Dilated pupils (mydriasis) more than 7mm • Unilateral
closure glaucoma, Adie's ... response, Serotonin syndrome ... Miosis: Horner's syndrome ... Robertson pupils), DM, SAH ... differential #diagnosis #ophthalmology
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
Sciatica: often bilateral ... and/or genital sensory ... - Emergency Causes ... region (S2-S4 dermatomes ... #neurology
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... occasionally it can occur bilaterally ... oculomotor nerve palsy ... clinical #video #ophthalmology ... #physicalexam #neurology
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 Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... at the level of sensory ... involved) - Tendon reflex ... in deep tendon reflexes ... paralysis - Sensory
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
• Locked-in syndrome ... dysfunction to the bilateral ... • Gag reflex ... brainstem Motor/Sensory ... #PhysicalExam #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Tract Lesions: • Bilateral ... Non-compressive Spinal Cord Causes ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... disorders #diagnosis #neurology
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