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diagnosis physicalexam algorithm causes management spinal spinalcord adies als amyotrophic cauda caudaequina comatose dermatomes disorders equina hemiplegia lateral lesions motor
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 ... Examination - bilateral ... #differential # ... 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 ... #differential # ... diagnosis #neurology
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity ... , T1 (median) Reflexes ... Saturday night palsy ... Myotomes #diagnosis #neurology ... sensory #motor #arm
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential ... Tract Lesions: • Bilateral ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... disorders #diagnosis #neurology
Causes of Hemiplegia - Differential Diagnosis Algorithm Cerebral Hemisphere (Contralateral motor cortex) • Aphasia • Apraxia •
contralateral extremity ... findings Unilateral ... Spinal Cord Lesions ... Brown-Sequard Syndrome ... #Hemiplegia #Neurology
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Diagnosis: • CN Ill Palsy ... #PhysicalExam #neurology ... #ophthalmology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Locked-in syndrome ... dysfunction to the bilateral ... • Gag reflex ... #PhysicalExam #neurology
Amyotrophic Lateral Sclerosis (ALS) Summary ALS: combination of the clinical examination finding of amyotrophy with the pathologic
Microglial cells are ... multiple spinal cord ... Increased Jaw Jerk reflex ... conditions listed in differential ... #Sclerosis #neurology
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
extensors of the arms ... Spasticity - Reflexes ... lesion • Bilateral ... diagnosis #management #neurology ... #differential
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