10 results
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
, often from vascular ... saddle anesthesia. leg ... pathophysiology #signs ... #symptoms #msk ... #orthopedics #neurology
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Fracture • Arthritis ... Repetitive strain injury ... Trauma • Crush injury ... cyanosis - Cool extremity ... #extremity #msk
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
Hoover's Sign for Functional Lower Extremity Paralysis

Used to distinguish organic from functional leg hemiparesis.

Ask the patient
Functional Lower ... Extremity Paralysis ... Ask the patient ... hemiparesis #clinical #video ... #physicalexam #neurology
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
• Symptoms and signs ... compression by fractured ... Non-compressive Spinal Cord Causes ... , lower extremity ... disorders #diagnosis #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 ... #msk #clinical ... #video #nsfw
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... flexors of the legs ... • Bilateral signs ... Sjogren's • CSF: - Abnormal ... diagnosis #management #neurology
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
Pectoralis Major Rupture Injury during Bench Press Exercise
CLINICAL: a rare injury patterns with typical sudden "tear/pop"
dropped nipple sign ... adduction of upper extremity ... satisfaction, lower ... #clinical #video ... #msk #orthopedics
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