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diagnosis differential physicalexam extremity motor myotomes sensory syndrome arm barre cauda caudaequina causes comatose dislocation equina gbs guillain injury leg
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity Dermatomes ... Pronation - C7, C8 Wrist ... , T1 (median) Reflexes ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology
Spinal Cord Injury by Nerve Root Levels Spinal Root Sensory Motor Reflex C4 Acromioclavicular Joint Respiration None C5 Radial Antecubital Fossa Elbow Flexion Biceps Reflex C6 Dorsal Thumb Wrist Extension Brachioradialis Reflex C7 Dorsal
Cord Injury by Nerve ... Sensory Motor Reflex ... C6 Dorsal Thumb Wrist ... None T7-T12 See Dermatomes ... differential #diagnosis #Neurology
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
associated injuries: Carpal ... trapezium, capitate, triquetrum ... fracture, median nerve ... injury • ED Management ... #Carpal #Radiology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Lower Extremity Dermatomes ... and Myotomes Reflexes ... damage to peroneal nerve ... Narrowing of spinal canal ... Myotomes #diagnosis #neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
threat Cranial Nerves ... direction to the body; wrists ... Arms extended; wrists ... from the body; wrists ... #PhysicalExam #neurology
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 ... region (S2-S4 dermatomes ... • Provocative Tests ... absent anal wink test ... diagnosis #causes #neurology
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
with peripheral nerve ... depressed deep tendon reflexes ... and sensitive tests ... Syndrome #diagnosis #management ... #neurology
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Spasticity - Reflexes ... negative, MOG-IgG test ... brain and/or optic nerve ... Myelitis #diagnosis #management ... #neurology #differential
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