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neurology diagnosis physicalexam video reflex pyramidal sign management differential cnxii peritonitis tongue cn12 fasciculations pediatrics spontaneous treatment analysis arthritis arthrocentesis
Bilateral LMN palsy with tongue weakness, wasting and fasciculations. → Bulbar motor Neuron disease Note
Bilateral LMN palsy ... differentiates this from an UMN ... fasciculations #LMN ... #hypoglossal #CNXII ... #CN12 #clinical
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 Upper Motor Neuron (UMN) lesions are lesions occurring anywhere in the CNS from the brain up
However, in UMN ... UMN lesions are ... spasticity, and a positive ... Babinski reflex ... @DharSaty #UMN
Incomplete spinal cord syndromes (ISCS) • Central - Small Lesion - Suspended sensory deficit, classic cape
lower extremities, LMN ... small band of LMN ... paraparesis (mixed UMN ... and LMN types) ... weakness (purely LMN
Amyotrophic Lateral Sclerosis (ALS) Summary ALS: combination of the clinical examination finding of amyotrophy with the pathologic
involving both UMN ... involvement • UMN ... plantar response • LMN ... of both UMN and ... EMG: LMN Signs in
Left Tongue Deviation caused by UMN XII palsy Looks can be deceiving. The UMN innervation of most
Deviation caused by UMN ... The UMN innervation ... looks like a left LMN ... CT brain ⬇️ Dx- UMN ... #video #hypoglossal
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 Generalized Weakness - Differential Diagnosis Framework "l feel weak": • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis •
Rhabdomyolysis, Critical ... Infection • Neuro: UMN ... stroke, tumor), LMN
Tongue Fasciculations Secondary to Hypoglossal Nerve Damage Most commonly associated with ALS - This LMN XII was
Fasciculations Secondary to Hypoglossal ... with ALS - This LMN ... #PhysicalExam #Clinical ... #Video #Hypoglossal
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 Floppy Baby Syndrome • Infantile Botulism • Acute Flaccid Myelitis • Guillain Barre • Neonatal Myasthenia
Myasthenia Gravis Clinical ... is crucial • UMN ... LMN signs - Assess
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
Calculate absolute PMN ... count (total WBC x PMN ... %) • Correct PMN ... RBCs (subtract 1 PMN ... culture with PMN
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis Spontaneous Bacterial Peritonitis • Cirrhosis (high SAAG)
) + ascites w/ PMN ... glucose < 50, LDH ULN ... at least 2): 1) Clinical ... , >50% PMNs 3) Positive
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