11 results
Cauda Equina Syndrome
Causes:
 • Large lumbar degenerative disc herniation (central)
 • Severe lumbar spondylosis
 • Neoplasm
Cauda Equina Syndrome ... leg reflexes) ... #CaudaEquina #Syndrome ... #MSK #pathophysiology ... #diagnosis #symptoms
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 infarct • HIV ... • Provocative Tests ... absent anal wink test ... decompression #CaudaEquina
Meralgia paresthetica: Pathogenesis and Clinical Findings
Compression/injury of Lateral Femoral Cutaneous Nerve (LFCN) -> Meralgia paresthetica
 •
must be absent: lower ... gait, strength, reflexes ... Straight Leg Raise Test ... #pathophysiology ... #signs #symptoms
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... • Mutism Pathophysiology ... • Examine for signs ... caseyalbin #PhysicalExam
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
Mixed upper and lower ... bladder and rectal reflex ... #diagnosis #pathophysiology ... #signs #symptoms ... #msk #orthopedics
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
- Differential Diagnosis ... and signs below ... spasticity • Lower ... MCTD, Sjogren syndrome ... reflexes: Areflexia
Hoover's Sign for Functional Lower Extremity Paralysis

Used to distinguish organic from functional leg hemiparesis.

Ask the patient
Functional Lower ... Ask the patient ... leg at the hip. ... hemiparesis #clinical #video ... #physicalexam #
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
is also a late sign ... If abnormal, this ... When the diagnosis ... This reflex is not ... Newborn #Infant #PhysicalExam
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 ... than one after symptom ... and sensitive tests ... the underlying pathophysiology
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
monophasic Pathophysiology ... Spasticity - Reflexes ... • Bilateral signs ... and/or symptoms ... Sjogren's • CSF: - Abnormal