11 results
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
Primarily Upper Extremity ... Mixed upper and lower ... bladder and rectal reflex ... #Syndromes #diagnosis ... pathophysiology #signs
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... • Examine for signs ... caseyalbin #PhysicalExam ... #diagnosis
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
Differential Diagnosis ... cord infarct • HIV ... extremity reflexes ... • Provocative Tests ... absent anal wink test
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 ... very sensitive diagnostic ... afferent pathway injury ... Neurology #Clinical #Video
Meralgia paresthetica: Pathogenesis and Clinical Findings
Compression/injury of Lateral Femoral Cutaneous Nerve (LFCN) -> Meralgia paresthetica
 •
Findings Compression/injury ... must be absent: lower ... gait, strength, reflexes ... Straight Leg Raise Test ... #signs #symptoms
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... Herpes zoster - HIV ... Trauma • Crush injury ... #lower #extremity ... #msk #physicalexam
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Upper Extremity ... , T1 (median) Reflexes ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... sensory #motor #arm #physicalexam
Spinal Cord Disorders - Differential Diagnosis Framework

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

Used to distinguish organic from functional leg hemiparesis.

Ask the patient
Functional Lower ... Extremity Paralysis ... weak 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 ... When the diagnosis ... checked for red reflex ... This reflex is not ... Newborn #Infant #PhysicalExam