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neurology differential leg motor myotomes pathophysiology signs spinalcord symptoms acute arm cauda caudaequina causes equina levels lfcn lower lowerlimb meralgiaparesthetica
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Cord Syndrome -> Anterior ... Sensory loss below ... reflex. saddle anesthesia ... #Syndromes #diagnosis ... signs #symptoms #msk
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Lower Extremity ... Dermatomes and Myotomes ... saddle (perineal) anesthesia ... #diagnosis #neurology ... #leg #physicalexam
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
spared in this injury ... Anterior Shoulder ... #diagnosis #neurology ... #sensory #motor ... #arm #physicalexam
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
Levels Spinal Root Sensory ... Motor Reflex C4 ... None T7-T12 See Dermatomes ... Abdominal Reflex L2 Anterior ... #differential #diagnosis
Meralgia paresthetica: Pathogenesis and Clinical Findings Compression/injury of Lateral Femoral Cutaneous Nerve (LFCN) -> Meralgia paresthetica •
Findings Compression/injury ... rarely follow dermatomal ... • Before diagnosis ... ligament (near anterior ... MeralgiaParesthetica #MSK
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
and/or genital sensory ... • S - Saddle anesthesia ... Differential Diagnosis ... weakness and sensory ... region (S2-S4 dermatomes
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
- Differential Diagnosis ... Repetitive strain injury ... Trauma • Crush injury ... #lower #extremity ... #msk #physicalexam
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