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differential clinical pediatrics peds spinalcord algorithm anisocoria cauda caudaequina disorders equina examination horners infant lesions management meningitis myelitis newborn ophthalmology
Brudzinski’s Sign in Meningitis (first described in 19th century by Dr. Josef Brudzinski) Brudzinski's sign is characterized
Brudzinski’s Sign ... Passive neck flexion causes ... spinal cord movement ... an involuntary reflex ... #PhysicalExam #
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 Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
- Emergency Causes ... : • Spinal cord ... infarct • HIV ... • Provocative Tests ... #causes #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
Syndromes Spinal ... Causes of spinal ... Weakness - Lower ... #Cord #syndromes ... #differential #diagnosis
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Spinal Cord Disorders ... • Symptoms and signs ... Cord Causes: 1 ... MCTD, Sjogren syndrome ... #neurology #differential
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Examine for signs ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Spasticity - Reflexes ... bouts of HTN Diagnostic ... • Bilateral signs ... negative, MOG-IgG test ... #management #neurology
Tromner Sign on Physical Exam The Trömner sign is commonly used as a clinical neurological examination for
segments of the spinal ... cord. ... or index finger causes ... #Video #Neurology ... #physicalexam
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 Horner's Syndrome on Physical Exam A 75yoF was referred in for facial swelling and eyelid changes 1
both upper and lower ... consistent with a diagnosis ... decompress the spinal ... cord. ... #neurology #Anisocoria
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 Newborn Infant - Routine Examination Birthweight, gestational age and birthweight percentile are noted. General observation Of the baby's
is also a late sign ... When the diagnosis ... This reflex is not ... of the back and spine ... Newborn #Infant #PhysicalExam
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