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diagnosis spinalcord syndromes algorithm causes management physicalexam spinal acute als amyotrophic beevors cauda caudaequina clinical comatose disorders dysarthria equina incomplete
Beevor's Sign on Physical Exam Beevor's sign is abnormal upward (cephalad) movement of the umbilicus with truncal
Beevor's Sign on ... usually reflects lower ... paralysis from spinal cord ... facioscapulohumeral muscular dystrophy ... video #umbilicus #neurology
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 Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
bladder and rectal reflex ... . saddle anesthesia ... Syndromes #diagnosis #pathophysiology ... #signs #symptoms ... #orthopedics #neurology
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
• S - Saddle anesthesia ... constipation Differential ... Diagnosis: • Spinal cord ... spondylitis • Tethered cord ... diagnosis #causes #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... Weakness - Lower ... in deep tendon reflexes ... syndromes #lesions #differential ... #diagnosis #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential ... • Symptoms and signs ... dysfunction • Abnormal reflexes ... disorders #diagnosis #neurology ... #differential
Incomplete spinal cord syndromes (ISCS) • Central - Small Lesion - Suspended sensory deficit, classic cape
Incomplete spinal cord ... lesion of cervical cord ... positive Romberg sign ... dysfunction, saddle anesthesia ... syndromes #diagnosis #neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Mutism Pathophysiology ... • Gag reflex ... • Examine for signs ... #PhysicalExam #neurology
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
monophasic Pathophysiology ... Spasticity - Reflexes ... • Bilateral signs ... diagnosis #management #neurology ... #differential
Amyotrophic Lateral Sclerosis (ALS) Summary ALS: combination of the clinical examination finding of amyotrophy with the pathologic
lateral sclerosis Pathophysiology ... multiple spinal cord ... Increased Jaw Jerk reflex ... conditions listed in differential ... Lateral #Sclerosis #neurology
Causes of Dysarthria - Differential Diagnosis Algorithm Lower Motor Neuron - Slow, Low Volume, Breathy Speech, Tongue
of Dysarthria - Differential ... Diagnosis Algorithm Lower ... Gravis • Muscular Dystrophy ... hyperactive gag reflex ... #Dysarthria #Neurology
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