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management barre caudaequina clinical dermatomes differential dislocation equina extremity gbs gravis guillain hyperkalemia injury k leg lowerlimb motor myasthenia myotomes
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
Cauda Equina Syndrome ... - Emergency Causes ... • Provocative Tests ... absent anal wink test ... #causes #neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Reflexes: • Knee ... Conditions: • Cauda ... Equina Syndrome ... Commonly caused ... #neurology #sensory
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Miller Fischer and PCB ... myasthenia Diagnosis ... Bedside: ice pack test ... /Edrophonium test ... #management #neurology
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
Guillain-Barré Syndrome ... Incidence: 1 to 2 cases ... and sensitive tests ... nerve roots and cauda ... #neurology
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... Neurologic injuries ... nerve injury (25%) TEST ... lachmans, posterior drawers ... Posterior #Injury #msk
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 Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Antibiotics (Bactrim, PCN ... tourniquet / IVF line draw ... Cortisol+ACTH stim test ... only if no clear cause ... Treatment #potassium #nephrology
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