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neurology differential management barre cord guillain physicalexam spinal spinalcord treatment algorithm caudaequina clinical dermatomes dislocation disorders emergencies equina examination extremity
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 ... cord infarct • HIV ... • Provocative Tests ... #causes #neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
and Myotomes Reflexes ... : • Knee - L2 ... Conditions: • Cauda ... Equina Syndrome ... Commonly caused
Orthopedic Emergencies Compartment Syndrome • An increase in compartment pressure to the point where tissue perfusion is
• Syndrome caused ... tibia/fibula) and hip ... • Diagnosis: ... cord function and reflex ... bulbocarvenosus reflex
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
syphilis, and HIV ... involved) - Tendon reflex ... in deep tendon reflexes ... involvement Cauda ... #differential #diagnosis
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Epidemiology: • 1-2 cases ... Decreased / Absent Reflexes ... Guillain-Barre Diagnosis ... nerve roots and cauda ... #diagnosis #management
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
Guillain-Barré Syndrome ... Incidence: 1 to 2 cases ... depressed deep tendon reflexes ... and sensitive tests ... nerve roots and cauda
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential Diagnosis ... Lower roots -> Cauda ... Non-compressive Spinal Cord Causes ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes
Newborn Infant - Routine Examination Birthweight, gestational age and birthweight percentile are noted. General observation Of the baby's
When the diagnosis ... assessment, is best ... checked for red reflex ... This reflex is not ... The hips are checked
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
DISLOCATION: ~25% cases ... nerve injury (25%) TEST ... Check hip and ankle ... Compartment syndrome ... msk #clinical #video
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