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PROF.DR.K.H.NOORUL AMEEN’S UNIT M6  DR.RAKESH PINNINTI  An Interesting case of Paraplegia
Chief complaints  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
History of presentation ,[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
GENERAL EXAMINATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Patient picture 1
 
Patient picture 2
CNS EXAMINATION  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CNS Examination  ,[object Object],[object Object],[object Object],[object Object],[object Object]
MOTOR SYSTEM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],IMPRESSION: FEATURES SUGGESTIVE OF PARAPLEGIA
CNS Examination ,[object Object],[object Object],[object Object],[object Object]
Investigations  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
MRI SPINE
C
Hematology  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Histopathology  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Histopathology pic 1
 
 
Histopathology pic 2
Expert opinions sort ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIAGNOSIS  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Discussion topics ,[object Object],[object Object]
MESCC ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Locations of metastatic lesions of the spine
Localization within the spine ,[object Object],[object Object]
CLINICAL EVALUATION ,[object Object],[object Object],[object Object],[object Object],[object Object]
Motor and Autonomic Dysfunction  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sensory findings  ,[object Object],[object Object],[object Object],[object Object]
Flowchart for initial workup of patient with suspected spinal metastatic disease The median survival for patients ambulatory prior to RT is eight to ten months compared to two to four months for those who are nonambulatory.  For those who remain nonambulatory at the conclusion of RT, the median survival is only one month
DIFFERENTIAL DIAGNOSIS  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Flowchart for management of spinal metastatic disease
TREATMENT  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Thank you

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