18 results
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
Motor Neuron (UMN ... However, in UMN ... UMN lesions are ... spasticity, and a positive ... Babinski reflex
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 ... Tongue #Deviation #UMN ... #video #hypoglossal
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Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Peritonitis - Spontaneous ... ) + ascites w/ PMN ... glucose < 50, LDH ULN ... at least 2): 1) Clinical ... , >50% PMNs 3) Positive
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Spontaneous Bacterial Peritonitis ... Clinical • ... Diagnosis • PMN ... cells/mL • Positive ... Spontaneous #Bacterial #Peritonitis
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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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
Hoffmann's Reflex on Physical Exam
The Hoffmann's reflex itself involves loosely holding the middle finger and flicking
A positive response ... A positive Hoffmann ... #PhysicalExam #clinical ... #neurology #UMN
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Stransky's Sign on Physical Exam - Babinski Equivalent
Stransky's sign is a clinical sign in which vigorous
Physical Exam - Babinski ... Stransky's sign is a clinical ... #PhysicalExam #clinical ... #neurology #UMN ... video #Pyramidal #Babinski
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Stransky's Sign on Physical Exam - Babinski Equivalent
Stransky's sign is a clinical sign in which vigorous
Physical Exam - Babinski ... Stransky's sign is a clinical ... #PhysicalExam #clinical ... #neurology #UMN ... video #Pyramidal #Babinski
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