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differential management physicalexam spinalcord barre extremity guillain spinal treatment algorithm arm bronchiectasis caudaequina clinical comatose dermatomes dislocation disorders emergencies equina
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Weakness • Spinal Cord ... Demyelinating Disease (MS ... 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 ... : • Spinal cord ... infarct • HIV ... #causes #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
- Spinal Cord Syndromes ... result in permanent neurologic ... 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
Spinal Cord Injury by Nerve Root Levels Spinal Root Sensory Motor Reflex C4 Acromioclavicular Joint Respiration None C5 Radial Antecubital Fossa Elbow Flexion Biceps Reflex C6 Dorsal Thumb Wrist Extension Brachioradialis Reflex C7 Dorsal
Spinal Cord Injury ... by Nerve Root Levels ... C6 Dorsal Thumb Wrist ... Anterior Medial Thigh Hip ... #Neurology #Spine
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
- Differential Diagnosis ... Herpes zoster - HIV ... Repetitive strain injury ... 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 ... Causes: 1. ... MCTD, Sjogren syndrome ... #neurology #differential
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... negative, MOG-IgG test ... • Infectious causes ... brain and/or optic nerve ... #management #neurology
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 ... Noise trauma ○ MS
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Epidemiology: • 1-2 cases ... Guillain-Barre Diagnosis ... roots and cauda ... #diagnosis #management ... #treatment #neurology
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