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neurology differential spinalcord cord dermatomes leg motor msk myotomes spinal syndromes algorithm cauda caudaequina causes disorders lesions lowerlimb orthopedics pain
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
spine • MCC- acute ... and/or genital sensory ... • S - Saddle anesthesia ... Differential Diagnosis ... and sensory disturbances
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Acute Spinal Cord ... Sensory loss below ... Mixed upper and lower ... reflex. saddle anesthesia ... #Syndromes #diagnosis
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Lower Extremity ... Conditions: • Cauda Equina ... saddle (perineal) anesthesia ... Dermatomes #Myotomes #diagnosis ... #motor #leg #physicalexam
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential Diagnosis ... below the site of injury ... spasticity • Lower ... roots -> Cauda equina ... , lower extremity
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
spared in this injury ... regimental badge" anesthesia ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
Weakness - Lower ... at the level of sensory ... involvement Cauda Equina ... paralysis - Sensory ... #differential #diagnosis
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
- Differential Diagnosis ... Trauma • Crush injury ... Immobilization) • Acute ... #lower #extremity ... #msk #physicalexam
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