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differential spinalcord causes clinical extremity management algorithm arm barre caudaequina comatose dermatomes dislocation disorders equina gbs guillain inverted irr knee
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
Syndromes Spinal ... cord injury. ... cord injury - ... involvement Cauda ... #differential #diagnosis
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
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Neuromuscular Weakness • Spinal ... Cord: Demyelinating ... injury, Sarcoid ... #differential #diagnosis ... #neurology
Inverted Supinator Test Useful for identifying a lesion at the C5-C6 spinal cord level. Tapping the
lesion at the C5-C6 spinal ... cord level. ... #Reflex #neurology ... #physicalexam # ... orthopedics #msk
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 Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Spinal Cord Disorders ... - Differential Diagnosis ... Lower roots -> Cauda ... MCTD, Sjogren syndrome ... #neurology #differential
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... to the spinal cord ... negative, MOG-IgG test ... brain and/or optic nerve ... #management #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
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
- Differential Diagnosis ... deficiency etc) • Spinal ... Herpes zoster - HIV ... lower #extremity #msk ... #physicalexam
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
Guillain-Barré Syndrome ... and sensitive tests ... axonal • MRI - Spinal ... cauda equina TREATMENT ... #neurology
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