FOOT DROP: WHAT TO DO IN THE ED?
\n\u2022 First, establish course of disease, is it chronic or acute?
\n\u2022 Chronic (~90% of cases):
\n\u2022 Bilateral more common than Unilateral
\n\u2022 Most likely doesn\u2019t need an extensive work-up while in ED
\n\u2022 Important for neurology follow-up for
\n\u2022 Acute (~10% of cases):
\n\u2022 Unilateral more common than Bilateral
\n\u2022 Most common ACUTE causes to rule out:
\n1) Stroke
\n2) Lumbar space occupying pathology
\n3) Traumatic injury
\n4) Compartment syndrome
\n5) TOXIC (lead, arsenic, mercury)
\n6) Infection: Guillain Barre, Syphilis, HIV
\n\u2022 Must do advanced imaging to rule out UMN, LMN and muscle levels
\n1) MRI brain w\/wo, MRI lumbar spine
\n2) XR of extremity
\n3) CBC, Chem 8, ESR, CRP, CPK, Lactate, Aldolase, ANA, LDH, TSH, HIV, B12, RPR, lead
\n4) Consider mercury\/arsenic if concern
\n\u2022 Neurology consult for acute foot drop
\n\u2022 Can\u2019t walk, must monitor, PT consult<\/p>\n","protected":false},"excerpt":{"rendered":"
FOOT DROP: WHAT TO DO IN THE ED? \u2022 First, establish course of disease, is it chronic or acute? \u2022 Chronic (~90% of cases): \u2022 Bilateral more common than Unilateral \u2022 Most likely doesn\u2019t need an extensive work-up while in ED \u2022 Important for neurology follow-up for \u2022 Acute (~10% of cases): \u2022 Unilateral more […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[8,19],"tags":[],"yoast_head":"\n