13 results
Positive Hoffmann's sign (finger flexor reflex)

Flexion and adduction of the thumb and flexion of the index
indicating cervical injury ... #clinical #hand ... #video #physicalexam ... #msk #orthopedics ... #neurology #sports
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
Sensory loss below ... clumsiness in hands ... rectal reflex. ... #Syndromes #diagnosis ... signs #symptoms #msk
Cauda Equina Syndrome
Causes:
 • Large lumbar degenerative disc herniation (central)
 • Severe lumbar spondylosis
 • Neoplasm
Cauda Equina Syndrome ... reflexes) • Urinary ... Anesthesia • Sensory ... #MSK #pathophysiology ... #diagnosis #symptoms
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
Myotomes Reflexes ... • Cauda Equina Syndrome ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #leg #physicalexam
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Diagnosis Framework ... Repetitive strain injury ... Trauma • Crush injury ... lower #extremity #msk ... #physicalexam
Meralgia paresthetica: Pathogenesis and Clinical Findings
Compression/injury of Lateral Femoral Cutaneous Nerve (LFCN) -> Meralgia paresthetica
 •
Findings Compression/injury ... • Before diagnosis ... gait, strength, reflexes ... Negative Straight Leg ... MeralgiaParesthetica #MSK
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... brainstem Motor/Sensory ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... at the level of sensory ... multiradicular pain - Leg ... #differential #diagnosis ... #neurology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
, T1 (median) Reflexes ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
- Differential Diagnosis ... below the site of injury ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... #neurology #differential