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neurology differential clinical msk spinalcord cord extremity leg management pathophysiology signs symptoms syndromes acute afferent algorithm barre brissauds caudaequina causes
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 ... Differential Diagnosis ... infarct • HIV ... • Provocative Tests ... absent anal wink test
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Acute Spinal Cord ... Mixed upper and lower ... bladder and rectal reflex ... #Syndromes #diagnosis ... pathophysiology #signs
Brissaud's Sign If the patient did not have his toes ... is there a sign that can
patient did not have his ... response reflects injury ... to the cortico-spinal ... #clinical #video ... #physicalexam #
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 Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
Syndromes Spinal ... syphilis, and HIV ... Weakness - Lower ... involvement Cauda ... #differential #diagnosis
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential Diagnosis ... • Symptoms and signs ... roots -> Cauda ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Lower Extremity ... and Myotomes Reflexes ... Conditions: • Cauda ... Equina Syndrome ... Dermatomes #Myotomes #diagnosis
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
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 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
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
Hoffmann's sign was originally described as follows: the test is performed by supporting the patient's hand
as follows: the test ... indicative of injury ... #Clinical #Video ... #PhysicalExam ... #Neurology #Reflex
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