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diagnosis neurology cord spinal spinalcord afferent algorithm caudaequina causes clinical comatose disorders equina examination infant lesions macrusgunn management myelitis newborn
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 ... cord infarct • HIV ... • Provocative Tests ... absent anal wink test ... #differential #
Relative Afferent Pupillary Defect This maneuver of intermittent light stimulus is called the alternating light test or
It is a clear sign ... the pupillary reflex ... afferent pathway injury ... Neurology #Clinical #Video ... Pupils #MacrusGunn #PhysicalExam
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 The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Locked-in syndrome ... Awareness • Injury ... • Examine for signs ... caseyalbin #PhysicalExam
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
syphilis, and HIV ... Weakness - Lower ... in deep tendon reflexes ... involvement Cauda ... #lesions #differential
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Cord Disorders - Differential ... • Symptoms and signs ... roots -> Cauda ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes
Newborn Infant - Routine Examination Birthweight, gestational age and birthweight percentile are noted. General observation Of the baby's
is also a late sign ... checked for red reflex ... This reflex is not ... for any midline defects ... Newborn #Infant #PhysicalExam
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... Spasticity - Reflexes ... • Bilateral signs ... negative, MOG-IgG test ... management #neurology #differential
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