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differential clinical management causes extremity median neurodynamic orthopedics peripheral sports tension ulnt arm cauda caudaequina comatose dermatomes dislocation equina gbs
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Demyelinating Disease (MS ... Poliomyelitis, Guillain-Barre ... injury, Sarcoid ... #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
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2) To assess for Median Nerve Peripheral Neuropathy Elbow extension →
forearm supination → wrist ... ULTT2 #clinical #video ... #physicalexam # ... sports #msk #orthopedics ... #neurology #ULNT
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 Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1) To assess for Median Nerve Peripheral Neuropathy Shoulder abduction →
forearm supination → wrist ... ULTT1 #clinical #video ... #physicalexam # ... sports #msk #orthopedics ... #neurology #ULNT
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 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
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
- Differential Diagnosis ... Herpes zoster - HIV ... Trauma • Crush injury ... lower #extremity #msk ... #physicalexam
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 ... threat Cranial Nerves ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
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