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differential management barre guillain physicalexam spinal spinalcord algorithm caudaequina causes clinical comatose dermatomes dislocation disorders equina gbs guillainbarre knee lesions
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
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
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
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential Diagnosis ... below the site of injury ... Lower roots -> Cauda ... MCTD, Sjogren syndrome ... #neurology #differential
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
paralysis of all extremity ... Can begin in arms ... Absent Reflexes: Arms ... roots and cauda ... #treatment #neurology
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
Guillain-Barré Syndrome ... paralysis of all extremity ... and sensitive tests ... roots and cauda ... #neurology
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
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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