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differential causes physicalexam management spinalcord barre cord extremity guillain knee algorithm arm caudaequina clinical comatose dermatomes disorders effusions equina gait
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 ... • Provocative Tests ... #causes #neurology
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
Trendelenburg Gait: Pathogenesis and clinical findings Skeletal Pathology of the Hip • Arthritis • Congenital hip dysplasia
Chondrodysplasia Neurologic ... Lesion in the Spinal ... Superior gluteal nerve ... dislocation Iatrogenic ... #msk
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Neuromuscular Weakness • Spinal ... Demyelinating Disease (MS ... injury, Sarcoid ... #differential #diagnosis ... #neurology
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... spared in this injury ... Anterior Shoulder Dislocation ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
Syndromes Spinal ... result in permanent neurologic ... involvement Cauda ... #differential #diagnosis ... #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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 Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Guillain-Barre Diagnosis ... Albuminocytologic dissociation ... of intrathecal spinal ... cauda equina ... #treatment #neurology
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
Guillain-Barré Syndrome ... albuminocytologic dissociation ... and sensitive tests ... cauda equina TREATMENT ... #neurology
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
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