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diagnosis physicalexam differential extremity myotomes spinalcord anatomy arm assessment cauda caudaequina causes comatose cord equina injury leg lesions levels lowerlimb
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
dissociaton; • Usually unilateral ... Holmes-Adie Syndrome ... Diagnosis: • CN Ill Palsy ... #PhysicalExam #neurology ... #ophthalmology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Lower Extremity Dermatomes ... and Myotomes Reflexes ... • Cauda Equina Syndrome ... Myotomes #diagnosis #neurology ... #sensory #motor
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity Dermatomes ... and Myotomes Motor ... , T1 (median) Reflexes ... Myotomes #diagnosis #neurology ... #sensory #motor
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
Levels Spinal Root Sensory ... Motor Reflex C4 ... None T7-T12 See Dermatomes ... S1 Lateral Calcaneus ... differential #diagnosis #Neurology
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 ... extremity weakness and sensory ... region (S2-S4 dermatomes ... diagnosis #causes #neurology
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 ... /Sensory: • Tone ... #PhysicalExam #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... Weakness - Lower motor ... lesion - Upper motor ... at the level of sensory ... in deep tendon reflexes
Median Nerve Anatomy and Function The Median nerve is the nerve of pre-axial hand function; pinch, delicate
and intrinsic motor ... and no sensory ... interosseous nerve (AIN) palsy ... and thumb do not flex ... Anatomy #diagnosis #neurology
The National Institutes of Health Stroke Scale (NIHSS) - Total Score = 0–42 1a—Level of consciousness
responds only with reflex ... = Partial gaze palsy ... hemianopia 3 =Bilateral ... both sides 5—Motor ... #NIHSS #Score #Neurology
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