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differential clinical physicalexam management spinalcord weakness algorithm als amyotrophic beevors braindead braindeath brudzinskis cauda caudaequina criticalcare disorders equina lateral lazarus
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Spasticity - Reflexes ... • Bilateral signs ... Check Vitamin B12 ... Deficiency: - Vitamin B12 ... #neurology #differential
Beevor's Sign on Physical Exam Beevor's sign is abnormal upward (cephalad) movement of the umbilicus with truncal
paralysis from spinal ... cord lesions between ... T9-T12. ... PhysicalExam #clinical #video ... #umbilicus #neurology
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 Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Spinal Cord Disorders ... • Symptoms and signs ... Cord Causes: 1 ... - Transverse myelitis ... myelopathy - Vit B12
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
cord - Spinal Cord ... Causes of spinal ... HIV) - Vitamin B12 ... #differential #diagnosis ... #neurology
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Weakness • Spinal ... Cord: Demyelinating ... Tetanus, Transverse Myelitis ... #differential #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 •
- Emergency Causes ... Differential Diagnosis ... : • Spinal cord ... • Transverse myelitis ... #causes #neurology
Brudzinski’s Sign in Meningitis (first described in 19th century by Dr. Josef Brudzinski) Brudzinski's sign is characterized
Passive neck flexion causes ... spinal cord movement ... an involuntary reflex ... Video by Dr. ... PhysicalExam #Pediatrics #Peds
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 Tromner Sign on Physical Exam The Trömner sign is commonly used as a clinical neurological examination for
segments of the spinal ... cord. ... or index finger causes ... #Reflex #clinical ... #Video #Neurology
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 Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Lesions of the spinal ... cord • Inflammatory ... endocrine: Vitamin B12 ... Lack of UMN/LMN signs ... #neurology
Lazarus Reflex on Physical Exam The Lazarus sign is a reflex movement observed in brain-dead or brainstem
by a spinal reflex ... after brain death diagnosis ... reported in some cases ... PhysicalExam #clinical #video ... #neurology #criticalcare
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