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08
SEP
2017

CBL 4 LOCOMOTOR MODULE (FIRST YEAR MBBS)

CASE:

40 years old patient was presented to the OPD with the exacerbated chronic lower back pain in the sacral region with radiation to the back of the left leg, producing strong pain throbbing and burning behind the knee. Pain was aggravated when bending forward or in reaching out position.

In his history he had an accident that resulted in fracture of the lumbar vertebrae. From time to time he suffered with typical pain. This time he has been suffering for about two weeks.

His MRI two months prior to this aggravation showed degeneration of L1, disc degeneration, and protrusion of the disc at the S1 level

Learning Objectives:

  1. Know the formation of lumbo-sacral plexus
  2. Know the motor and sensory distribution of lumbar and sacral nerve roots.
  3. Recognize the clinical manifestation due to disease of a certain nerve root
  4. Correlate the motor and sensory loss to identify the level of nerve root involved.

INSTRUCTION NOTE:

BOOK REFERENCES:

  1. CUNNIGHAM’S MANUAL OF PRACTICAL ANATOMY
  2. CLINICALLY ORIENTED ANATOMY. BOOK BY KEITH L. MOORE
  3. CLINICAL ANATOMY.TEXT BOOK BY RICHARD SNELL

WEB REFERENCES:

1.www.medscape.com

Submitted by:

Dr Erum Fatima

Co-coordinator First Year M.B.B.S

Deptt. Of Anatomy

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