9 results
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
Upper Extremity Dysfunction ... clumsiness in hands ... rectal reflex. ... saddle anesthesia ... #diagnosis #pathophysiology
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
the ankle jerk reflex ... laboratory evaluation ... confirmed a diagnosis ... Woltmans #Signs #PhysicalExam ... Delayed #Clinical #Video
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
Myotomes Reflexes ... • Cauda Equina Syndrome ... pain, sciatica, saddle ... genitourinary dysfunction ... Dermatomes #Myotomes #diagnosis
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 ... sexual dysfunction ... Mnemonic: • S - Saddle ... Differential Diagnosis ... #differential #diagnosis
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
The Neurological Evaluation ... Differential Diagnosis ... • Locked-in syndrome ... Severe injury/dysfunction ... caseyalbin #PhysicalExam
Cauda Equina Syndrome
Causes:
 • Large lumbar degenerative disc herniation (central)
 • Severe lumbar spondylosis
 • Neoplasm
Cauda Equina Syndrome ... of normal leg reflexes ... Incontinence • Saddle ... bladder/bowel dysfunction ... pathophysiology #diagnosis
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
in deep tendon reflexes ... - Sphincter dysfunction ... Impotence - Saddle ... Sensory loss - Saddle ... #differential #diagnosis
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
When the diagnosis ... requires further evaluation ... checked for red reflex ... This reflex is not ... Newborn #Infant #PhysicalExam
Unilateral Floppy Eyelid Syndrome

This middle-aged male reported to clinic for persistent blurry vision and irritation of
Floppy Eyelid Syndrome ... This middle-aged ... granulomas” Surgical evaluation ... #FES #PhysicalExam ... #clinical #video