14 results
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
Syndrome ->Cord ... Mixed upper and lower ... saddle anesthesia. leg ... #Syndromes #diagnosis ... pathophysiology #signs
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Diagnosis Framework ... Herpes zoster - HIV ... Trauma • Crush injury ... #lower #extremity ... #msk #physicalexam
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
- Spinal Cord Syndromes ... syphilis, and HIV ... Weakness - Lower ... multiradicular pain - Leg ... #differential #diagnosis
Meralgia paresthetica: Pathogenesis and Clinical Findings
Compression/injury of Lateral Femoral Cutaneous Nerve (LFCN) -> Meralgia paresthetica
 •
Findings Compression/injury ... must be absent: lower ... Negative Straight Leg ... Raise Test - ... #signs #symptoms
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 ... : • Spinal cord ... infarct • HIV ... • Provocative Tests ... absent anal wink test
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... Awareness • Injury ... • Examine for signs ... caseyalbin #PhysicalExam
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
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
- Differential Diagnosis ... • Symptoms and signs ... spasticity • Lower ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes
Hoffmann's sign was originally described as follows: the test is performed by supporting the patient's hand
as follows: the test ... cervical spinal cord ... #Clinical #Video ... #PhysicalExam ... #Neurology #Reflex
Hoover's Sign for Functional Lower Extremity Paralysis

Used to distinguish organic from functional leg hemiparesis.

Ask the patient
Functional Lower ... the patient to flex ... at the hip. ... hemiparesis #clinical #video ... #physicalexam #