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diagnosis neurology differential extremity management myotomes sensory cauda caudaequina comatose cord equina gravis leg lesions lowerlimb myasthenia myelitis spinal spinalcord
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity Dermatomes ... and Myotomes Motor ... , T1 (median) Reflexes ... Carpal Tunnel Syndrome ... #arm #physicalexam
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
and Myotomes Reflexes ... • Cauda Equina Syndrome ... Commonly caused ... #sensory #motor ... #leg #physicalexam
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... • Vestibulo-ocular ... Casey Albin MD @ ... caseyalbin #PhysicalExam
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
- Emergency Causes ... region (S2-S4 dermatomes ... • Provocative Tests ... absent anal wink test ... #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
: - Knife or bullet ... Weakness - Lower motor ... lesion - Upper motor ... involved) - Tendon reflex ... in deep tendon reflexes
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Ocular- 50%: Ptosis ... proximal weakness, arms ... Bedside: ice pack test ... /Edrophonium test ... immunologic assay - MuSK
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
extensors of the arms ... Spasticity - Reflexes ... : • Sensory, motor ... negative, MOG-IgG test ... • Infectious causes
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