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differential management dermatomes motor myotomes rheumatology sensory treatment vasculitis barre classification comatose guillain guillainbarre lower lowerlimb ms multiple myelitis sclerosis
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Leg Pain - Differential ... Diagnosis Framework ... #diagnosis #lower ... #extremity #msk ... #physicalexam
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Ankle - S1 • Biceps ... • Cauda Equina Syndrome ... - Low back pain ... #neurology #sensory ... #motor #leg #physicalexam
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity ... Jerk - C7, C8 • Biceps ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
cases/100,000 per year ... paralysis of all extremity ... Can begin in arms ... Hands or feet • Pain ... #treatment #neurology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
loss, arthralgia, arm ... /leg claudication ... bruits, asymmetric arm ... of shoulder and hip ... purpura (lower legs
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
• Or brainstem syndromes ... Sensitivity to pain ... Oligoclonal bands are ... taper 3-7 days - Short ... #management #neurology
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
- Differential Diagnosis ... well as inner ear ... extremities, upper extremity ... , testes -> pain ... Cryoglobulins • HIV
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
• Vestibulo-ocular ... Possible responses to pain ... If ok with ICU team ... caseyalbin #PhysicalExam ... #neurology #comatose
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
flexors of the legs ... extensors of the arms ... or without back pain ... bouts of HTN Diagnostic ... #management #neurology
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