68 results
Bilateral LMN palsy with tongue weakness, wasting and fasciculations.  →  Bulbar motor Neuron disease

Note
Bilateral LMN palsy ... with tongue weakness ... differentiates this from an UMN ... fasciculations #LMN ... #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 ... clinically characterized ... very different clinical ... and a positive Babinski ... @DharSaty #UMN
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
combination of the clinical ... cellular function Clinical ... involving both UMN ... fasciculations) • BULBAR: Tongue ... Exam: clinical evidence
Left Tongue Deviation caused by UMN XII palsy

Looks can be deceiving. The UMN innervation of most
Left Tongue Deviation ... The UMN innervation ... CT brain ⬇️ Dx- UMN ... bobvarkey #Left #Tongue ... #CNXII #palsy #clinical
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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
Tongue Fasciculations ... with ALS - This LMN ... @camwolfe #Tongue ... #PhysicalExam #Clinical
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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 ... strength, tone,
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Severe - ALT >15X ULN ... Moderate - ALT 5-15X ULN ... Mild - ALT < 5x ULN ... LFTs #Elevated #Abnormal
Abnormal (Positive, Upgoing) Babinski Sign on Physical Exam

#Abnormal #Positive #Babinski #Sign #PhysicalExam #clinical #video #reflex #pyramidal
Abnormal (Positive ... , Upgoing) Babinski ... Physical Exam #Abnormal ... #Positive #Babinski ... #PhysicalExam #clinical
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Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
neurological lesion: Clinical ... injury • Gait is abnormal ... decreased muscle tone ... : Areflexia UMN ... plantar response LMN