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differential spinalcord management physicalexam spinal symptoms syndromes acute algorithm causes clinical comatose delayed disorders endocrinology hypothyroidism lesions ms multiple myelopathy
Myelopathy - Injury to the entire spinal cord - Signs and Symptoms • Ataxia (early sign)
Myelopathy - Injury ... entire spinal cord ... Hyperreflexia (deep-tendon ... reflex responses ... #msk
Woltman’s sign on Physical Exam 53-year-old man presented with fatigue and sensitivity to cold. A physical examination
sensitivity to cold ... evaluation confirmed a diagnosis ... phase of a deep-tendon ... reflex, is a neurologic ... #Clinical #Video
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 Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Syndrome ->Cord ... #Syndromes #diagnosis ... pathophysiology #signs ... #symptoms #msk ... #orthopedics #neurology
Woltman’s sign on Physical Exam - Hi-Res .mp4 version here: https://www.grepmed.com/images/13248 53-year-old man presented with fatigue and
sensitivity to cold ... relaxation of the ankle ... evaluation confirmed a diagnosis ... phase of a deep-tendon ... reflex, is a neurologic
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 Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
- Spinal Cord Syndromes ... result in permanent neurologic ... involved) - Tendon ... #differential #diagnosis ... #neurology
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Weakness • Spinal Cord ... Tetanus, Transverse Myelitis ... Phrenic nerve injury ... #differential #diagnosis ... #neurology
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... Spasticity - Reflexes ... • Bilateral signs ... Diagnosis: • ... #neurology #differential
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
• Symptoms and signs ... - Transverse myelitis ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... #neurology #differential
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... : • Deep tendon ... • Examine for signs ... #PhysicalExam #neurology
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
neuritis • Partial myelitis ... • Or brainstem syndromes ... (Spinal cord predominant ... objective evidence of neurologic ... #management #neurology
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