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differential management physicalexam cord extremity guillain spinalcord algorithm arm caudaequina clinical comatose dermatomes dislocation disorders equina gbs guillainbarre hearing knee
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Weakness • Spinal ... Poliomyelitis, Guillain-Barre ... injury, Sarcoid ... #differential #diagnosis ... #neurology
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
Cauda Equina Syndrome ... compression of nerve ... infarct • HIV ... cord • Guillain-Barre ... #causes #neurology
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... of intrathecal spinal ... cauda equina ... #Syndrome #diagnosis ... management #treatment #neurology
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
Guillain-Barré Syndrome ... and sensitive tests ... cauda equina TREATMENT ... #Syndrome #diagnosis ... #management #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
Syndromes Spinal ... Causes of spinal ... involvement Cauda ... #differential #diagnosis ... #neurology
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... Wrist drop - Occurs ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
- Differential Diagnosis ... deficiency etc) • Spinal ... Herpes zoster - HIV ... Trauma • Crush injury ... lower #extremity #msk
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential Diagnosis ... Lower roots -> Cauda ... Cord Causes: 1 ... MCTD, Sjogren syndrome ... #neurology #differential
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
- Differential Diagnosis ... include a: • Neurologic ... cause unknown) ... II ○ Susac’s syndrome ... Labyrinthitis ○ Epstein-Barr
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... bouts of HTN Diagnostic ... negative, MOG-IgG test ... brain and/or optic nerve ... #management #neurology
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