11 results
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
Primarily Upper Extremity ... bladder and rectal reflex ... . saddle anesthesia ... #Syndromes #diagnosis ... #orthopedics #neurology
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
sensitivity to cold ... and laboratory evaluation ... confirmed a diagnosis ... , is a neurologic ... Woltmans #Signs #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
Spinal Cord Injury ... C7 Dorsal Middle ... #SpinalCord #Injury ... #differential #diagnosis ... #Neurology #Spine
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... in deep tendon reflexes ... Impotence - Saddle ... #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 ... Mnemonic: • S - Saddle ... Differential Diagnosis ... : • Spinal cord ... #causes #neurology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
and Myotomes Reflexes ... pain, sciatica, saddle ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #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 ... dysfunction • Abnormal reflexes ... , lower extremity ... #neurology #differential
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
The Neurological Evaluation ... Differential Diagnosis ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
Hoffmann's sign was originally described as follows: the test is performed by supporting the patient's hand
The middle finger ... indicative of injury ... cervical spinal cord ... Hoffmanns #Sign #PhysicalExam ... #Neurology #Reflex
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
, T1 (median) Reflexes ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam