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diagnosis differential dermatomes myotomes physicalexam sensory syndrome barre caudaequina causes cord equina guillain guillainbarre lesions lowerlimb management rheumatology spinal spinalcord
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Conditions: • Cauda ... saddle (perineal) anesthesia ... damage to peroneal nerve ... Myotomes #diagnosis #neurology ... #sensory #motor
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity ... aracteristic "claw hand ... regimental badge" anesthesia ... Myotomes #diagnosis #neurology ... #arm #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 ... • S - Saddle anesthesia ... Syringomyelia • Spinal AVM ... or absent lower extremity ... diagnosis #causes #neurology
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
paralysis of all extremity ... Can begin in arms ... : Hands or feet ... roots and cauda ... management #treatment #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... Weakness - Lower motor ... lesion - Upper motor ... involvement Cauda ... multiradicular pain - Leg
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
/or motor neuropathy ... loss, arthralgia, arm ... /leg claudication ... muscle weakness • Nerves ... purpura (lower legs
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