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diagnosis differential management spinalcord msk orthopedics spinal syndromes algorithm barre caudaequina clinical dislocation disorders emergencies equina gbs guillain hyperreflexia hyporeflexia
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Acute Spinal Cord ... , often from vascular ... Syndrome ->Cord ... bladder and rectal reflex ... #orthopedics #neurology
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... Polyneuropathy, Acute ... stroke, Acute spinal ... cord injury Generalized ... diagnosis #table #neurology
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 ... spine • MCC- acute ... - Emergency Causes ... lumbar stenosis • Vascular ... #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
- Spinal Cord Syndromes ... result in permanent neurologic ... involved) - Tendon reflex ... in deep tendon reflexes ... involvement Cauda
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Lower roots -> Cauda ... Causes: 1. ... Vascular/Blockage ... MCTD, Sjogren syndrome ... disorders #diagnosis #neurology
Orthopedic Emergencies Compartment Syndrome • An increase in compartment pressure to the point where tissue perfusion is
• Syndrome caused ... days after an acute ... injury or after ... loss of spinal cord ... function and reflex
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... extensors of the arms (pyramidal ... Spasticity - Reflexes ... negative, MOG-IgG test ... diagnosis #management #neurology
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
DISLOCATION: ~25% cases ... Neurologic deficit ... Neurologic injuries ... (25%) TEST FOR: ... msk #clinical #video
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 Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
(GBS) Acute autoimmune ... depressed deep tendon reflexes ... and sensitive tests ... nerve roots and cauda ... diagnosis #management #neurology
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