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differential management pathophysiology signs spinalcord acute algorithm cauda caudaequina causes clinical comatose cord diffuse disorders equina gbs guillain hemiparesis hoovers
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
spine L1-L5 Symptoms ... cord • Guillain-Barre ... • Provocative Tests ... absent anal wink test ... #causes #neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... : • Deep tendon ... • Examine for signs ... caseyalbin #PhysicalExam ... #neurology #comatose
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Mixed upper and lower ... bladder and rectal reflex ... #signs #symptoms ... #msk #orthopedics ... #neurology
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
Guillain-Barré Syndrome ... depressed deep tendon ... reflexes ... and sensitive tests ... #Syndrome #diagnosis
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential Diagnosis ... and signs below ... MCTD, Sjogren syndrome ... reflexes: Areflexia ... #neurology #differential
Hoover's Sign for Functional Lower Extremity Paralysis Used to distinguish organic from functional leg hemiparesis. Ask the patient
Functional Lower ... Ask the patient ... hemiparesis #clinical #video ... #physicalexam # ... neurology #psychiatry
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 Diffuse Systemic Sclerosis (Scleroderma) - Pulmonary Fibrosis -> Crackles, Abnormal CXR - Pulmonary Hypertension, Right Heart
Fibrosis -> Crackles, Abnormal ... esophageal dilation, reflux ... contractures - Tendon ... pathophysiology #signs ... #symptoms #diagnosis
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... diminished, or tender ... • Progressive symptoms ... fluid (CSF) is abnormal ... the upper and lower
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Spasticity - Reflexes ... • Bilateral signs ... and/or symptoms ... Sjogren's • CSF: - Abnormal ... #management #neurology
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