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neurology differential syndrome management barre classification dermatomes equina extremity gbs guillain leg lowerlimb motor msk myelitis myotomes pathophysiology physicalexam rheumatology
Cauda Equina Syndrome Causes: • Large lumbar degenerative disc herniation (central) • Severe lumbar spondylosis • Neoplasm
Cauda Equina Syndrome ... Causes: • Large ... Complications: • Weakness ... damage to sacral nerves ... #CaudaEquina #Syndrome
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
compression of nerve ... and/or genital sensory ... lower extremity weakness ... decompression #CaudaEquina ... #causes #neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Conditions: • Cauda ... Commonly caused ... damage to peroneal nerve ... claudication and weakness ... #neurology #sensory
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Diagnosis Framework ... Lesions Of The Peripheral ... signs - Lack of sensory ... dystrophies Work ... #neurology
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
Incidence: 1 to 2 cases ... cross-reacts with peripheral ... or the axon of peripheral ... and sensitive tests ... roots and cauda
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Weakness: - Weakness ... bouts of HTN Diagnostic ... negative, MOG-IgG test ... brain and/or optic nerve ... #management #neurology
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
tract, and often causes ... glomeruli, and peripheral ... myalgia and muscle weakness ... vasculitis • Sensory ... retinopathy Lab Tests
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