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diagnosis differential physicalexam spinalcord extremity motor myotomes sensory spinal absent adies algorithm arm cauda caudaequina causes clinical comatose disorders equina
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 ... Sensory Motor Reflex ... None T7-T12 See Dermatomes ... S1 Lateral Calcaneus ... differential #diagnosis #Neurology
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity Dermatomes ... , T1 (median) Reflexes ... Saturday night palsy ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Lower Extremity Dermatomes ... and Myotomes Reflexes ... • Cauda Equina Syndrome ... dysfunction, and bilateral ... Myotomes #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 ... Diagnosis: • Spinal cord ... spondylitis • Tethered cord ... region (S2-S4 dermatomes ... diagnosis #causes #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
- Spinal Cord Syndromes ... result in permanent neurologic ... in deep tendon reflexes ... involved - Bilateral ... (more commonly bilateral
Bilateral tonic pupils observed in the patient with Ross syndrome. Absence of bilateral pupillary contraction despite
patient with Ross syndrome ... clinical #video #ophthalmology ... #ross #syndrome ... #bilateral #reflex ... #neurology #absent
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 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
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... dysfunction to the bilateral ... • Gag reflex ... #PhysicalExam #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Spinal Cord Disorders ... Tract Lesions: • Bilateral ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... disorders #diagnosis #neurology
Paraproteinemias Entities That Can Feature A Monoclonal Protein/M Component: • MM • WM • MGUS • MGCS • MGRS • Splenic Marginal Zone
• Neutrophilic dermatosis ... et diutinum Neurologic ... myopathy • Anti MAG ... anemia due to cold ... Subcorneal pustular dermatosis
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