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differential spinalcord syndromes injury physicalexam acute cauda caudaequina comatose cord equina extremity incomplete iscs lesions levels lowerlimb management msk myelitis
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
pain, sciatica, saddle ... Commonly caused ... #Myotomes #diagnosis ... #neurology #sensory ... #motor #leg #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
Root Sensory Motor ... Reflex C7 Dorsal Middle ... None T7-T12 See Dermatomes ... #differential #diagnosis ... #Neurology #Spine
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Sensory loss below ... rectal reflex. saddle ... anesthesia. leg ... Injury #Syndromes #diagnosis ... #orthopedics #neurology
Incomplete spinal cord syndromes (ISCS) • Central - Small Lesion - Suspended sensory deficit, classic cape
Incomplete spinal ... Disproportionate motor ... rectal dysfunction, saddle ... multiradicular pain, leg ... #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... Causes of spinal ... multiradicular pain - Leg ... #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 •
sequestration • Saddle ... and/or genital sensory ... - Emergency Causes ... region (S2-S4 dermatomes ... #causes #neurology
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
flexors of the legs ... bouts of HTN Diagnostic ... , motor, or autonomic ... • Infectious causes ... #management #neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
The Neurological Evaluation ... Differential Diagnosis ... /Sensory: • Tone ... Casey Albin MD @ ... #PhysicalExam #neurology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
vasculitis • Sensory ... and/or motor neuropathy ... arthralgia, arm/leg ... rhinitis/sinusitis, saddle ... tract, and often causes
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