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Guide for testing and documenting neurological function in kids with upper limb fractures 

Rock - Median
with upper limb fractures ... drsarahedwards #Diagnosis ... #Pediatrics #Hand ... #PhysicalExam # ... Mnemonic #Upper #Arm
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Upper Extremity ... Abduction - C8-T1 (ulnar ... Dermatomes #Myotomes #diagnosis ... sensory #motor #arm ... #physicalexam
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
onto outstretched hand ... posterior interosseous nerve ... Posterior long arm ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Diagnosis Framework ... Leg Pain: • Fracture ... #extremity #msk ... #physicalexam
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
Commonly caused ... damage to peroneal nerve ... such as fibular fracture ... Dermatomes #Myotomes #diagnosis ... sensory #motor #leg #physicalexam
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 ... - Emergency Causes ... Diagnosis: • ... distinguishing feature ... #diagnosis #causes
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
Cord Disorders - Differential ... Diagnosis Framework ... 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
Microglial cells are ... - Causes progressive ... , lower extremity ... conditions listed in differential ... activity between nerve
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential ... Diagnosis Framework ... often causes arthritis ... peripheral nerves ... extremities, upper extremity
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: • ... threat Cranial Nerves ... Casey Albin MD @ ... caseyalbin #PhysicalExam