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neurology spinal syndromes acute algorithm caudaequina comatose disorders equina injury management myelitis orthopedics pathophysiology rheumatology signs symptoms transverse vasculitis
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 ... lower lumbar disc ... Inspection - lower ... Palpation - lower ... diagnosis #causes
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
Weakness - Lower ... involvement Cauda ... syndromes #lesions ... #differential # ... diagnosis #neurology
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Syndrome ->Cord ... Mixed upper and lower ... saddle anesthesia. leg ... #signs #symptoms ... #msk #orthopedics
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
• Symptoms and signs ... spasticity • Lower ... roots -> Cauda ... Causes: 1. ... Upper extremity, lower
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: • ... • Locked-in syndrome ... • Examine for signs ... caseyalbin #PhysicalExam
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
flexors of the legs ... Spasticity - Reflexes ... signs and/or symptoms ... negative, MOG-IgG test ... • Infectious causes
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... of shoulder and hip ... the upper and lower ... tract, and often causes ... Palpable purpura (lower
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