14 results
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Diagnosis Framework ... cyanosis - Cool extremity ... #differential #diagnosis ... #lower #extremity ... #msk #physicalexam
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Cauda Equina Syndrome ... damage to peroneal nerve ... at fibular neck ... #neurology #sensory ... #motor #leg #physicalexam
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
Primarily Upper Extremity ... saddle anesthesia. leg ... #diagnosis #pathophysiology ... signs #symptoms #msk ... #orthopedics #neurology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Upper Extremity ... #UpperLimb #Extremity ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
paralysis of all extremity ... Weakness: Starts in legs ... Reflexes: Arms or legs ... Guillain-Barre Diagnosis ... #treatment #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
month following neck ... consistent with a diagnosis ... #clinical #video ... ophthalmology #physicalexam ... #neurology #Anisocoria
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
shoulder abduction → neck ... ULTT2 #clinical #video ... #physicalexam # ... sports #msk #orthopedics ... #neurology #ULNT
Hoover's Sign for Functional Lower Extremity Paralysis

Used to distinguish organic from functional leg hemiparesis.

Ask the patient
Functional Lower Extremity ... Ask the patient ... hemiparesis #clinical #video ... #physicalexam # ... neurology #psychiatry
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Neck: “dropping ... weakness, arms > legs ... Brain stem/Cranial nerve ... - Repetitive nerve ... #management #neurology
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
elbow extension → neck ... ULTT1 #clinical #video ... #physicalexam # ... sports #msk #orthopedics ... #neurology #ULNT