45 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
Motor Neuron (UMN ... form part of the differential ... clinically characterized ... very different clinical ... and a positive Babinski
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
combination of the clinical ... cellular function Clinical ... fasciculations) • BULBAR: Tongue ... conditions listed in differential ... neurology #diagnosis #management
Left Tongue Deviation caused by UMN XII palsy

Looks can be deceiving. The UMN innervation of most
Left Tongue Deviation ... caused by UMN XII ... The UMN innervation ... bobvarkey #Left #Tongue ... #CNXII #palsy #clinical
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Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 •
Generalized Weakness - Differential ... Rhabdomyolysis, Critical ... Infection • Neuro: UMN ... stroke, tumor), LMN ... Generalized #Weakness #Differential
Floppy Baby Syndrome
 • Infantile Botulism
 • Acute Flaccid Myelitis
 • Guillain Barre
 • Neonatal Myasthenia
Myasthenia Gravis Clinical ... is crucial • UMN ... LMN signs - Assess ... strength, tone, ... Syndrome #pediatrics #differential
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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Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Tests - Differential ... Severe - ALT >15X ULN ... Mild - ALT < 5x ULN ... LFTs #Elevated #Abnormal
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
Cord Disorders - Differential ... neurological lesion: Clinical ... injury • Gait is abnormal ... decreased muscle tone ... : Areflexia UMN
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 ... Peritoneal #diagnosis #differential