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Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
• Prevalence: 1-2 cases per million -

Clinical Manifestations ... Sudden death - diaphragm ... Management #treatment #neurology

Diaphragm Anatomy - Innervation, Neurovasculature and Openings

By @rev.med

#Diaphragm #Anatomy #Innervation #Neurovasculature #Openings

Diaphragm Anatomy ... By @rev.med #Diaphragm

Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm indicative of

cavity above the diaphragm ... cut off at the diaphragm ... SpineSign #POCUS #Clinical

Paradoxical Respirations in Diaphragmatic Paralysis

Note the paradoxical movement of the abdomen during inspiration. The accessory inspiratory

causes the flaccid diaphragm ... Respirations #Breathing #Diaphragm ... #Clinical #Video

Hoover's sign on Physical Exam
Paradoxical retraction of the lower intercostal spaces on inspiration
Pulmonary hyperinflation → flattening

flattening of the diaphragm ... the flattened diaphragm ... #PhysicalExam #Clinical

Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of

but functioning, diaphragm ... resulting flattened diaphragm ... PhysicalExam #Video #Clinical

Map of Referred Pain
Referred pain occurs when nerves from two different anatomic sites converge onto the

Heart — Lungs and diaphragm ... Locations #diagnosis #neurology

Uremic Asterixis on Physical Exam

Dr. Arvind Canchi @arvindcanchi

#Uremia #Asterixis #PhysicalExam #clinical #video #neurology #nephrology

#PhysicalExam #clinical ... #video #neurology ... #nephrology

Another view of acanthocytes under darkfield illumination after removal of light filter over field diaphragm

Dr. Jay

filter over field diaphragm ... urine #microscopy #clinical

The neurological and chemotactic control of respiration rate
#breathing #respiration #pneumatic center #CN X # diaphragm #lungs

center #CN X # diaphragm

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