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diagnosis differential clinical management physicalexam algorithm amyotrophic beevors cabcde cauda caudaequina contusion ctchest dermatomes dislocation disorders equina injury knee lateral
Beevor's Sign on Physical Exam Beevor's sign is abnormal upward (cephalad) movement of the umbilicus with truncal
is abnormal upward ... paralysis from spinal cord ... The sign been also ... facioscapulohumeral muscular ... #umbilicus #neurology
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 Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
• Symptoms and signs ... compression by fractured ... Causes: 1. ... , lower extremity ... disorders #diagnosis #neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Lower Extremity ... Commonly caused ... fibular neck such as ... fibular fracture ... Myotomes #diagnosis #neurology
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
- Emergency Causes ... Diagnosis: • Spinal cord ... spondylitis • Tethered cord ... distinguishing feature ... #neurology
Amyotrophic Lateral Sclerosis (ALS) Summary ALS: combination of the clinical examination finding of amyotrophy with the pathologic
multiple spinal cord ... - Causes progressive ... 4) progressive muscular ... , lower extremity ... Lateral #Sclerosis #neurology
Pediatric Trauma Primary Survey: C-ABCDE C - Catastrophic Bleeding - Life-threatening hemorrhage • Apply direct pressure/compression bandage
Tourniquet for extremity ... potential pelvic fracture ... shock - ↓HR, ↓BP, Abnormal ... tone, ↓ power ... concern for spinal cord
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
DISLOCATION: ~25% cases ... Neurologic deficit ... Neurologic injuries ... Also, think of tibial ... msk #clinical #video
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 Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... pulse deficits vascular ... affects the skin, neurologic ... fluid (CSF) is abnormal ... tract, and often causes
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... structural and vascular ... defaulting to a normal ... With multiple lower ... Most commonly caused
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