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spinalcord spinal syndromes acute algorithm anisocoria bilaterality brownsequard cauda caudaequina causes clinical comatose deficit disorders distribution equina extremity injury loss
Principal patterns of loss of sensation. (a) Thalamic lesion: sensory loss throughout opposite side (rare).
dissociated', i.e. pain ... syndrome: contralateral ... spinothalamic (pain ... all modalities ... #Diagnosis #Neurology
Horner's Syndrome on Physical Exam A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... both upper and lower ... of Horner's syndrome ... space occupying lesions ... #physicalexam #
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 Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Syndrome ->Cord ... Complete hemicord lesion ... Mixed upper and lower ... saddle anesthesia. leg ... signs #symptoms #msk
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Leg Pain - Differential ... #pain #differential ... #diagnosis #lower ... #extremity #msk ... #physicalexam
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
Weakness - Lower ... - Leg weakness ... #syndromes #lesions ... #differential # ... diagnosis #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential ... Diagnosis Framework ... continence • Pain ... MCTD, Sjogren syndrome ... #neurology #differential
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
Diagnosis: • ... Spinal cord infarct ... • HIV related ... #differential # ... #neurology
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
flexors of the legs ... or without back pain ... negative, MOG-IgG test ... #management #neurology ... #differential
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: • ... Possible responses to pain ... caseyalbin #PhysicalExam ... #neurology #comatose
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
arthralgia, arm/leg ... of shoulder and hip ... the upper and lower ... Palpable purpura (lower ... legs), cutaneous
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