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physicalexam differential barre cord dermatomes guillain management motor myotomes sensory spinal spinalcord adies algorithm arm caudaequina causes comatose disorders equina
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 ... Sciatica: often bilateral ... Differential Diagnosis ... Examination - bilateral ... #causes #neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
and Myotomes Reflexes ... Conditions: • Cauda ... Equina Syndrome ... dysfunction, and bilateral ... #neurology #sensory
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity ... , T1 (median) Reflexes ... Saturday night palsy ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... : • CN Ill Palsy ... #PhysicalExam #neurology ... #ophthalmology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... in deep tendon reflexes ... involvement Cauda ... #differential #diagnosis ... #neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • 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
Tract Lesions: • Bilateral ... Lower roots -> Cauda ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... #neurology #differential
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
paralysis of all extremity ... Decreased / Absent Reflexes ... Guillain-Barre Diagnosis ... nerve roots and cauda ... #treatment #neurology
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
Guillain-Barré Syndrome ... depressed deep tendon reflexes ... paralysis of all extremity ... nerve roots and cauda ... #neurology
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