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management spinalcord msk spinal syndromes algorithm als amyotrophic cauda caudaequina comatose dermatomes disorders equina examination gravis infant injury lateral lesions
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Acute Spinal Cord ... Syndrome ->Cord ... Mixed upper and lower ... saddle anesthesia. leg ... #signs #symptoms
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Leg Pain - Differential ... Diagnosis Framework ... Immobilization) • Acute ... #diagnosis #lower ... #physicalexam
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
spine • MCC- acute ... Diagnosis: • ... extremity reflexes ... diagnosis #causes ... #neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Lower Extremity ... and Myotomes Reflexes ... • Cauda Equina Syndrome ... Commonly caused ... #motor #leg #physicalexam
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
- Spinal Cord Syndromes ... Weakness - Lower ... multiradicular pain - Leg ... #differential # ... diagnosis #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
• Symptoms and signs ... Causes: 1. ... MCTD, Sjogren syndrome ... , lower extremity ... #neurology #differential
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: • ... • Examine for signs ... caseyalbin #PhysicalExam ... #neurology #comatose
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
weakness, arms > legs ... life-threatening Differential ... - Peek sign 2. ... aspiration and acute ... #management #neurology
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
flexors of the legs ... Spasticity - Reflexes ... • Bilateral signs ... negative, MOG-IgG test ... #differential
Amyotrophic Lateral Sclerosis (ALS) Summary ALS: combination of the clinical examination finding of amyotrophy with the pathologic
multiple spinal cord ... - Causes progressive ... , lower extremity ... Increased Jaw Jerk reflex ... Lateral #Sclerosis #neurology
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