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diagnosis differential management physicalexam syndrome algorithm barre dermatomes guillain motor myotomes sensory als amyotrophic arm caudaequina comatose cord disorders dysarthria
Amyotrophic Lateral Sclerosis (ALS) Summary ALS: combination of the clinical examination finding of amyotrophy with the pathologic
- Causes progressive ... Increased Jaw Jerk reflex ... activity between nerve ... neurons - IV free radical ... #Sclerosis #neurology
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity ... Pronation - C7, C8 Wrist ... , T1 (median) Reflexes ... nerve in the radial ... Myotomes #diagnosis #neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
and Myotomes Reflexes ... Conditions: • Cauda ... dorsum of foot and lateral ... Commonly caused ... damage to peroneal nerve
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 ... - Emergency Causes ... MRI- Sagittal, axial ... differential #diagnosis #causes ... #neurology
Causes of Dysarthria - Differential Diagnosis Algorithm Lower Motor Neuron - Slow, Low Volume, Breathy Speech, Tongue
Nerves VII, IX, ... hyperactive gag reflex ... • Amyotrophic Lateral ... Disorder Extra-Pyramidal ... #Dysarthria #Neurology
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Epidemiology: • 1-2 cases ... paralysis of all extremity ... Decreased / Absent Reflexes ... roots and cauda ... management #treatment #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 ... dysfunction • Abnormal reflexes ... : Areflexia UMN ... disorders #diagnosis #neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
dysfunction to the bilateral ... blinks to threat Cranial ... Nerves: Brainstem ... Casey Albin MD @ ... #PhysicalExam #neurology
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
Incidence: 1 to 2 cases ... depressed deep tendon reflexes ... paralysis of all extremity ... roots and cauda ... diagnosis #management #neurology
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
extensors of the arms (pyramidal ... Spasticity - Reflexes ... Hyperreflexia develops later ... • Infectious causes ... brain and/or optic nerve
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