19 years old-emirati - student

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Medicine Mind Map on 19 years old-emirati - student, created by yousaf alabrash on 20/09/2018.
yousaf alabrash
Mind Map by yousaf alabrash, updated more than 1 year ago
yousaf alabrash
Created by yousaf alabrash over 5 years ago
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Resource summary

19 years old-emirati - student
  1. present with
    1. cordination symptoms
      1. clumsiness
      2. motor symptoms
        1. difficulty walking
        2. sensory symptoms
          1. numbness
        3. Differential Diagnosis
          1. Upper motor neuron lesions
            1. encephalitis
              1. capsular hemiplegia
                1. trauma
                  1. Neurosyphyllis
            2. lower motor neuron lesion
              1. Poliomyelitis
                1. Guillain–Barré
                  1. Spinal root lesions
                    1. cauda equina syndrome
              2. physical examination
                1. grading muscle power
                  1. gaits
                    1. spastic gait
                      1. Dragging stiff leg due to spasticity
                        1. causes
                          1. cerebral palsy (CP)
                            1. birth trauma
                              1. brain abscess
                                1. brain tumor
                            2. ataxic
                              1. Myopathy
                              2. parkinosian
                                1. steppage
                            3. investigations
                              1. MRI
                                1. CT
                                2. CBC
                                  1. CSF analysis
                                    1. each have indications
                                    2. syringiomyelia
                                      1. The normal
                                        1. physiology of muscles
                                          1. muscle sensors
                                            1. muscle spindles
                                              1. Ia + II
                                              2. golgi tendon
                                                1. Ib
                                              3. muscle fibers
                                                1. Extrafusal fibers
                                                  1. a-motorneuron
                                                  2. Intrafusal fibers
                                                    1. g-motorneuron
                                                  3. intrafusal fibers
                                                    1. Nuclear bag
                                                      1. Dynamic changes
                                                        1. Ia
                                                      2. Nuclear chain
                                                        1. static changes
                                                          1. II
                                                    2. physiology of spinal cord
                                                      1. pathway of pain and temperature
                                                        1. dermatomes
                                                        2. reflex
                                                        3. anatomy
                                                        4. causes
                                                          1. tumor
                                                            1. trauma
                                                              1. infection
                                                                1. arnold chiari malformation
                                                                  1. posterior fossa deformity
                                                                    1. tonsilar herination
                                                                      1. CSF trapping and syrinx formation
                                                                        1. syrinx expansion and compression of spinal cord structure
                                                                    2. management
                                                                      1. surgery
                                                                        1. posterior fossa decompression
                                                                          1. +aspiration
                                                                            1. +/- shunting
                                                                              1. complications
                                                                                1. hemorrhage
                                                                                  1. spinal cord tethering
                                                                                  2. infection
                                                                                    1. shunt failure
                                                                                    2. follow up
                                                                                      1. psychological counselling
                                                                                        1. to help the patient regain his life
                                                                                        2. monitoring complications
                                                                                          1. of both surgery and the disease
                                                                                          2. prognosis
                                                                                            1. progressive disease
                                                                                              1. sooner intervention
                                                                                                1. better outcome
                                                                                                2. can lead to permenant nerve damage
                                                                                                  1. numbness
                                                                                                    1. weekness
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