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differential algorithm cord dermatomes extremity management motor physicalexam sensory spinal spinalcord alte alzheimersdisease arm barre brue caudaequina dementia disorders encephalopathy
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Dermatomes and Myotomes ... Pronation - C7, C8 Wrist ... , T1 (median) Reflexes ... Wrist drop - Occurs ... #diagnosis #neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Reflexes: • ... Conditions: • Cauda ... Equina Syndrome ... Commonly caused ... #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 ... spine L1-L5 Symptoms ... - Emergency Causes ... Differential Diagnosis ... #causes #neurology
Causes of Apparent Life Threatening Event (ALTE) - Differential Diagnosis Algorithm Cardiac: • Congenital Heart Disease •
Metabolism • Reye's Syndrome ... Disturbances Neurologic ... : • Seizure ... Gastroesophageal Reflux ... #Peds #Pediatrics
Alzheimer’s Disease: Pathogenesis and Clinical Findings Risk factor for Late Onset Alzheimer's (99% of cases): - Increasing
mutations - Down syndrome ... dysfunction: myoclonic seizure ... , primitive reflexes ... #diagnosis #signs ... #symptoms
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... in deep tendon reflexes ... involvement Cauda ... #differential #diagnosis ... #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
may precede the neurologic ... Neurological symptoms ... the underlying cause ... : Treat with AEDs ... #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Lower roots -> Cauda ... Non-compressive Spinal Cord Causes ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... #neurology #differential
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
Guillain-Barré Syndrome ... depressed deep tendon reflexes ... than one after symptom ... nerve roots and cauda ... #neurology
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