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differential management dermatomes leg motor myotomes spinalcord acute algorithm arm barre bilaterality brownsequard cauda caudaequina clinical comatose cord deficit dislocation
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Sensory loss below ... Primarily Upper Extremity ... #Syndromes #diagnosis ... signs #symptoms #msk ... #orthopedics #neurology
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
• Cauda Equina Syndrome ... Commonly caused ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #leg #physicalexam
Principal patterns of loss of sensation. (a) Thalamic lesion: sensory loss throughout opposite side (rare).
Brown—Séquard syndrome ... lesion: loss of all ... MS: loss of proprioception ... #Diagnosis #Neurology ... GrepMed Recommended Text
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
and/or genital sensory ... - Emergency Causes ... weakness and sensory ... • Provocative Tests ... #causes #neurology
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
- Differential Diagnosis ... Repetitive strain injury ... Trauma • Crush injury ... #lower #extremity ... #msk #physicalexam
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential Diagnosis ... below the site of injury ... Non-compressive Spinal Cord Causes ... MCTD, Sjogren syndrome ... #neurology #differential
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... bouts of HTN Diagnostic ... Transverse Myelitis Diagnosis ... negative, MOG-IgG test ... #management #neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... brainstem Motor/Sensory ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... (25%) TEST FOR: ... WORK UP: obtain ... -->>>> LINK TO ACL ... #msk #clinical
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