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differential management causes physicalexam cauda caudaequina clinical comatose dermatomes dislocation equina extremity gbs gravis guillainbarre hearing knee loss motor myelitis
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Poliomyelitis, Guillain-Barre ... injury, Sarcoid ... , Myasthenia Gravis ... #differential #diagnosis ... #neurology
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... than females Guillain-Barre ... bulbar muscles Guillain-Barre ... • Areflexia Guillain-Barre ... #Barre #Syndrome
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
proximal weakness, arms ... Diagnosis - ... /Edrophonium test ... #Gravis #diagnosis ... #management #neurology
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
Guillain-Barré Syndrome ... immunodeficiency virus (HIV ... and sensitive tests ... #Barre #Syndrome ... #neurology
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #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 ... cord infarct • HIV ... Tethered cord • Guillain-Barre ... • Provocative Tests ... #causes #neurology
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
- Differential Diagnosis ... include a: • Neurologic ... II ○ Susac’s syndrome ... Noise trauma ○ MS ... Labyrinthitis ○ Epstein-Barr
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... Awareness • Injury ... threat Cranial Nerves ... #PhysicalExam #neurology
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... injury (25%) TEST ... Check hip and ankle ... #msk #clinical ... #video #nsfw
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 Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... extensors of the arms ... negative, MOG-IgG test ... brain and/or optic nerve ... #management #neurology
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