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differential physicalexam management acute algorithm arm barre cauda caudaequina causes clinical comatose cord dermatomes dislocation disorders equina gbs guillain hearing
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
and #Acute #SpinalCord ... #Injury #Syndromes ... #diagnosis #pathophysiology ... signs #symptoms #msk ... #orthopedics #neurology
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity ... Pronation - C7, C8 Wrist ... 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
by Nerve Root Levels ... C6 Dorsal Thumb Wrist ... Anterior Medial Thigh Hip ... #differential #diagnosis ... #Neurology #Spine
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
- Differential Diagnosis ... Herpes zoster - HIV ... Trauma • Crush injury ... #lower #extremity ... #msk #physicalexam
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
compression of nerve ... cord infarct • HIV ... • Provocative Tests ... absent anal wink test ... #causes #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential Diagnosis ... below the site of injury ... MCTD, Sjogren syndrome ... #spinal #cord #spinalcord ... #neurology #differential
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
- Differential Diagnosis ... include a: • Neurologic ... II ○ Susac’s syndrome ... Noise trauma ○ MS ... #Differential #Diagnosis
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
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 ... Guillain #Barre #Syndrome ... #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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