flaccid paralysis

1. TABLE OF
CONTENTS
1
01 04
05
02
03
ABOUT THE PATIENT
Here you could describe the topic
of the section
Here you could describe the topic
of the section
DISCUSSION
Here you could describe the topic
of the section
PATIENT MONITORING
TREATMENT
Here you could describe the topic
of the section
DIAGNOSIS
Here you could describe the topic
of the section

2. Motor disorders
In clinical practice the first question to
ask when seeing a child with a motor
disorder is whether this is a central or
a peripheral nervous system disorder.
The pattern of movement usually
gives the answer.
2
INTRODUCTION

3.  Weakness is a decreased ability to
voluntarily move muscles. This may be
generalized or localized to one aspect
of the body.
 Hypotonia is a state of low muscle
resistance to movement. Hypotonia can
be associated with weakness, but in
some cases is present with normal
motor strength. The differential
diagnosis for weakness is extensive.
Weakness and Hypotonia

4. 4
ETIOLOGY
 Weakness and hypotonia may be due to disorders of
upper or lower motor neurons.
 Upper motor neurons originate in the cerebral motor
cortex; their axons form the corticospinal tract ending
in the spinal cord, controlling voluntary motor activity.
 The anterior horn cells, their motor roots, peripheral
motor nerves, neuromuscular junctions, and muscles
represent the lower motor neurons and muscle units.
 Maintenance of normal strength, tone, and coordination
requires integrated communication throughout this
complex system, including the cerebral cortex,
cerebellum, brainstem, thalamus, basal ganglia, and
spinal cord.

5. UMNL LMNL
• Dysfunction causes loss of voluntary control, but not
total loss of movement because motor nuclei of the
basal ganglia, thalamus, and brainstem have tracts
that produce simple or complex stereotyped patterns
of movement.
• The corticospinal tract permits fine motor activity and
is best tested by fine movements of the distal
extremities.
• In the acute phase, UMN disorders cause hypotonia
and decreased deep tendon reflexes. Over time,
however, spasticity and hyperreflexia develop.
• A central lesion usually results in weakness that is
more pronounced in the flexors of the lower
extremities. In the upper extremities, the extensors
are weaker than flexors,
• Damage to the spinal cord leaves residual simple,
stereotyped reflex movements coordinated by local
spinal reflexes below the level of the lesion.
• Destruction of the lower motor neuron,
the final common pathway producing
muscle activity, leads to hypotonia and
absence of movement.
• Function is best tested by measuring the
strength of individual muscle groups or,
in a young child, by observing the ability
to perform functional tasks requiring
particular muscle groups (walk up or
down stairs, arise from the ground, walk
on toes or heels, raise the hands above
the head, squeeze a ball).
• With lower motor neuron disorders,
atrophy and fasciculations are common
and deep tendon reflexes are typically
decreased or absent.
5
CLINICAL
MANIFESTATIONS
Weakness caused by upper motor neuron disease differs
from weakness produced by lower motor units.

6. 2xxx 2xxx 2xxx
Despite being red, Mars is a
cold place, not hot. It’s full of
iron oxide dust
Jupiter is a gas giant and the
biggest planet in our Solar
System
Saturn is the ringed one. It’s a
gas giant, composed mostly
of hydrogen and helium
6
LOCATION: Madrid,
Spain
ALLERGIES: None
GENDER: Female
AGE: 25 - 35
PATIENT
MEDICAL
HISTORY

7. 7
Despite being red, Mars is
a cold place. The planet is
full of iron oxide dust
Jupiter is a gas giant and
the biggest planet in our
Solar System
Saturn is the ringed one.
It’s composed mostly of
hydrogen and helium
REVIEW
OF
SYSTEMS

8. SATURN
JUPITER
Jupiter is a gas giant and the
biggest planet in our Solar
System
MARS
Despite being red, Mars is a
cold place. The planet is full of
iron oxide dust
8
Saturn is the ringed one. It’s
composed mostly of hydrogen
and helium
PHYSICAL
EXAMINATION

9. 9
Mercury is the closest planet to the Sun
and the smallest one in the Solar
System—it’s only a bit larger than our
Moon. The planet’s name has nothing
to do with the liquid metal since it was
named after the Roman messenger
god, Mercury
RESULTS

10. EVOLUTION
If you want to modify these graphs, click on them, follow
the link, change the data and replace them
20%
30%
10% 40%
PREVALENCE
200,000,000
BIG NUMBER
1
0
FINDINGS

11. 1
1
“Jupiter is a gas giant and the
biggest planet in our Solar
System. It’s the fourth-
brightest object in the sky”
“Despite being red, Mars is a
cold place, not hot. It’s full of
iron oxide dust, which gives
the planet its reddish cast”
“Mercury is the closest planet
to the Sun and the smallest
one in our Solar System. It’s
only a bit larger than our
Moon”
DR. JOHN DOE
DR. JENNA JAMES
DR. DANIEL
PATTERSON
DISCUSSION

12. DISCUSSI
ON
SUMMARY
01
Mercury is the closest planet to
the Sun and the smallest one in
the Solar System—it’s only a bit
larger than our Moon
02
Venus has a beautiful name and
is the second planet from the
Sun. It’s terribly hot—even
hotter than Mercury

13. Jupiter is the biggest planet in
our Solar System
Mercury is the closest
planet to the Sun
Neptune is the farthest planet
from the Sun
Venus has a beautiful name,
but it’s terribly hot
Despite being red, Mars is a
cold place, not hot
1
3
DIAGNOSIS

14. Venus has a beautiful
name and is the second
planet from the Sun. It’s
hotter than Mercury and
its atmosphere is
poisonous
VENU
S
MERCU
RY
Mercury is the closest
planet to the Sun and
the smallest one in the
Solar System—it’s only
a bit larger than our
Moon
1
4
TREATMENT

15. Mercury is the closest planet to
the Sun and the smallest one
WEEK 1
SATURN
MERCU
RY
MARS
Despite being red, Mars is a cold
place, not hot
SATURN
MERCU
RY
MARS
1
5
SATURN
MERCU
RY
MARS
SATURN
MERCU
RY
MARS
Jupiter is the biggest planet in our
Solar System WEEK 3
Saturn is a gas giant, composed
mostly of hydrogen and helium
PATIENT
MONITORIN
G
WEEK 4
WEEK 2

16. 2. Here you can describe the reason
to carry on with the treatment
3. Here you can describe the reason
to carry on with the treatment
1. Here you can describe the reason
to carry on with the treatment
4. Here you can describe the reason
to carry on with the treatment
2. Here you can describe the reason
to stop the treatment
3. Here you can describe the reason
to stop the treatment
1. Here you can describe the reason
to stop the treatment
1
6
4. Here you can describe the reason
to stop the treatment
CONTRAINDICATI
ONS &
INDICATIONS

17. Mercury is the closest planet
to the Sun
Neptune is the farthest planet
from the Sun
Venus has a beautiful name,
but it’s terribly hot
Despite being red, Mars is a
cold place, not hot
1
7
POST-
PREVENTION

18. Jupiter is the biggest
planet in our Solar
System
The Sun is the star at
the center of the Solar
System
Mercury is the smallest
planet in our Solar
System
Despite being red,
Mars is a cold place,
not hot
1
8
1 2 3 4
CASE TIMELINE

19. CONCLUSIONS
Mercury is the closest planet to the Sun and the
smallest one in the Solar System—it’s only a bit
larger than our Moon. The planet’s name has nothing
to do with the liquid metal since it was named after
the Roman messenger god, Mercury
1
9
CONCLUSIONS

20. ●
AUTHOR (YEAR). Title of the publication. Publisher
●
AUTHOR (YEAR). Title of the publication. Publisher
●
AUTHOR (YEAR). Title of the publication. Publisher
●
AUTHOR (YEAR). Title of the publication. Publisher
●
AUTHOR (YEAR). Title of the publication. Publisher
●
AUTHOR (YEAR). Title of the publication. Publisher
2
0
REFERENCES

21. 2
1
Here you can talk a bit
about this person
Here you can talk a bit
about this person
Here you can talk a bit
about this person
HELENA JAMES
JENNA DOE
JOHN PATTERSON
OUR TEAM

22. 2
2
THANKS
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+91 620 421 838
yourcompany.com

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