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diagnosis physicalexam differential injury msk spinalcord acute algorithm als amyotrophic beevors contusion cord ctchest dermatomes dislocation disorders dystrophy hemiparesis hoovers
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Lower Extremity ... and bilateral leg ... Commonly caused ... such as fibular fracture ... Myotomes #diagnosis #neurology
Beevor's Sign on Physical Exam Beevor's sign is abnormal upward (cephalad) movement of the umbilicus with truncal
is abnormal upward ... facioscapulohumeral muscular ... PhysicalExam #clinical ... #video #umbilicus ... #neurology
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 Gowers' Sign on Physical Exam Caused by proximal muscle weakness typically seen in muscular dystrophy #Gowers #Sign #PhysicalExam
Gowers' Sign on ... Physical Exam Caused ... #Sign #PhysicalExam ... #neurology #clinical ... #video #pediatrics
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 Hoover's Sign for Functional Lower Extremity Paralysis Used to distinguish organic from functional leg hemiparesis. Ask the patient
Functional Lower ... Extremity Paralysis ... hemiparesis #clinical ... #video #physicalexam ... #neurology #psychiatry
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 Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Pathogenesis and clinical ... Mixed upper and lower ... saddle anesthesia. leg ... pathophysiology #signs ... #orthopedics #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
neurological lesion: Clinical ... • Symptoms and signs ... compression by fractured ... Non-compressive Spinal Cord Causes ... , lower extremity
Amyotrophic Lateral Sclerosis (ALS) Summary ALS: combination of the clinical examination finding of amyotrophy with the pathologic
- Causes progressive ... 4) progressive muscular ... segment: Upper extremity ... , lower extremity ... Lateral #Sclerosis #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 ... CLINICAL: instability ... #video #nsfw
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 Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... arthralgia, arm/leg ... fluid (CSF) is abnormal ... tract, and often causes ... legs), cutaneous
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... exam findings and clinical ... With multiple lower ... Most commonly caused
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