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ELECTROMYOGRAPHY AND UPPER EXTREMITY DISORDERS Jonathan S. Rutchik, MD, MPH, QME Neurology, Neurotoxicology, Occupational and Environmental Medicine San Francisco Bay area, California SF, RICHMOND, PETALUMA SACRAMENTO AND ARCATA [email protected] WEBSITE: http://www.neoma.com O: 415-381-3133, F: 415-381-3131
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ELECTROMYOGRAPHY AND UPPER EXTREMITY DISORDERS Jonathan S. Rutchik, MD, MPH, QME Neurology, Neurotoxicology, Occupational and Environmental Medicine San.

Jan 13, 2016

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Page 1: ELECTROMYOGRAPHY AND UPPER EXTREMITY DISORDERS Jonathan S. Rutchik, MD, MPH, QME Neurology, Neurotoxicology, Occupational and Environmental Medicine San.

ELECTROMYOGRAPHYAND

UPPER EXTREMITY DISORDERS

Jonathan S. Rutchik, MD, MPH, QMENeurology, Neurotoxicology, Occupational and Environmental Medicine

San Francisco Bay area, CaliforniaSF, RICHMOND, PETALUMA

SACRAMENTO AND [email protected]

WEBSITE: http://www.neoma.comO: 415-381-3133, F: 415-381-3131

Page 2: ELECTROMYOGRAPHY AND UPPER EXTREMITY DISORDERS Jonathan S. Rutchik, MD, MPH, QME Neurology, Neurotoxicology, Occupational and Environmental Medicine San.

JS Rutchik, MD, MPH www.neoma.com

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JSR Background• BOARD CERTIFIED in Neurology • Neurology residency:

– Mount Sinai Medical Center. NY, NY.

• Fellowship Occ/ Env Neurology; – Boston University Medical Center – Electromyography training Beth Israel Medical Center

• BOARD CERTIFIED in Occ/ Env Medicine• Occupational/ Environmental Medicine residency;

– Boston University Medical Center

• Master’s in Public Health; BU SPH

Page 3: ELECTROMYOGRAPHY AND UPPER EXTREMITY DISORDERS Jonathan S. Rutchik, MD, MPH, QME Neurology, Neurotoxicology, Occupational and Environmental Medicine San.

JS Rutchik, MD, MPH www.neoma.com

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MEDIAN NERVE

Page 4: ELECTROMYOGRAPHY AND UPPER EXTREMITY DISORDERS Jonathan S. Rutchik, MD, MPH, QME Neurology, Neurotoxicology, Occupational and Environmental Medicine San.

JS Rutchik, MD, MPH www.neoma.com

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ANATOMY OF MEDIAN NERVE

Page 5: ELECTROMYOGRAPHY AND UPPER EXTREMITY DISORDERS Jonathan S. Rutchik, MD, MPH, QME Neurology, Neurotoxicology, Occupational and Environmental Medicine San.

JS Rutchik, MD, MPH www.neoma.com

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MEDIAN MOTOR STUDY

Page 6: ELECTROMYOGRAPHY AND UPPER EXTREMITY DISORDERS Jonathan S. Rutchik, MD, MPH, QME Neurology, Neurotoxicology, Occupational and Environmental Medicine San.

JS Rutchik, MD, MPH www.neoma.com

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MEDIAN MOTOR STUDY

Page 7: ELECTROMYOGRAPHY AND UPPER EXTREMITY DISORDERS Jonathan S. Rutchik, MD, MPH, QME Neurology, Neurotoxicology, Occupational and Environmental Medicine San.

JS Rutchik, MD, MPH www.neoma.com

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BRACHIAL PLEXUS

Page 8: ELECTROMYOGRAPHY AND UPPER EXTREMITY DISORDERS Jonathan S. Rutchik, MD, MPH, QME Neurology, Neurotoxicology, Occupational and Environmental Medicine San.

JS Rutchik, MD, MPH www.neoma.com

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SENSORY STUDIES

Page 9: ELECTROMYOGRAPHY AND UPPER EXTREMITY DISORDERS Jonathan S. Rutchik, MD, MPH, QME Neurology, Neurotoxicology, Occupational and Environmental Medicine San.

JS Rutchik, MD, MPH www.neoma.com

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F WAVE EXPLANATION

Page 10: ELECTROMYOGRAPHY AND UPPER EXTREMITY DISORDERS Jonathan S. Rutchik, MD, MPH, QME Neurology, Neurotoxicology, Occupational and Environmental Medicine San.

JS Rutchik, MD, MPH www.neoma.com

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Page 11: ELECTROMYOGRAPHY AND UPPER EXTREMITY DISORDERS Jonathan S. Rutchik, MD, MPH, QME Neurology, Neurotoxicology, Occupational and Environmental Medicine San.

JS Rutchik, MD, MPH www.neoma.com

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COMPARISON STUDIESACROSS THE WRIST

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JS Rutchik, MD, MPH www.neoma.com

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JS Rutchik, MD, MPH www.neoma.com

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JS Rutchik, MD, MPH www.neoma.com

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JS Rutchik, MD, MPH www.neoma.com

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JS Rutchik, MD, MPH www.neoma.com

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4 CASES WITH NCV AND EMG DATA