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diagnosis neurology management treatment algorithm barre cord dermatomes guillain motor myotomes sensory spinal spinalcord syndromes acromegaly caudaequina classification comatose dermatology
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 ... - Emergency Causes ... • Provocative Tests ... #differential # ... diagnosis #causes
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
and Myotomes Reflexes ... Conditions: • Cauda ... Equina Syndrome ... Commonly caused ... sensory #motor #leg #physicalexam
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity ... , T1 (median) Reflexes ... #UpperLimb #Extremity ... sensory #motor #arm ... #physicalexam
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... Casey Albin MD @ ... caseyalbin #PhysicalExam
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
Causes of spinal ... involved) - Tendon reflex ... in deep tendon reflexes ... involvement Cauda ... #lesions #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 ... Can begin in arms ... Decreased / Absent Reflexes ... : Arms or legs ... nerve roots and cauda
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Cord Disorders - Differential ... Lower roots -> Cauda ... Non-compressive Spinal Cord Causes ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes
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 ... and sensitive tests ... nerve roots and cauda
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Rash - Differential ... deficiency Work ... Fecal occult blood test ... #dermatology #physicalexam
Newborn Infant - Routine Examination Birthweight, gestational age and birthweight percentile are noted. General observation Of the baby's
assessment, is best ... for red reflex ... This reflex is not ... pressure in the arms ... Newborn #Infant #PhysicalExam
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