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Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
Bell's Palsy - Diagnosis ... ophthalmoplegia), systemic signs ... , Sjogrens Diagnosis ... sarcoid or other CNS ... Management #Treatment #Neurology
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
Physical Exam 53-year-old ... evaluation confirmed a diagnosis ... deep-tendon reflex, is a neurologic ... #PhysicalExam # ... Clinical #Video #Neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... females Differential Diagnosis ... : • CN Ill Palsy ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
aneurysm, sudden and ... claudication, shoulder ... thrombophilia, neurologic ... signs/symptoms ... postpartum #Diagnosis
Yergason's Test on Shoulder Examination
Patient Position: Sitting
Examiner Position: Standing adjacent to the test arm. One hand
One hand stabilizes ... Positive Sign: ... indicates damage or tear ... #PhysicalExam # ... clinical #video #msk #orthopedics
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
- Differential Diagnosis ... The evaluation should ... include a: • Neurologic ... audiometry • Patients should ... auditory nerve (CN
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
skin injury) • Neurologic ... basal ganglia, CNS ... meningitis), MCC CNS ... Giant retinal tears ... #management #signs
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
that results in CNS ... • Bilateral signs ... NMO-IgG (anti-AQP4) should ... , MOG-IgG test should ... #management #neurology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... purpura: Strong sign ... proximal muscles of shoulder ... affects the skin, neurologic ... chorioretinitis, CNS
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Examine for signs ... If ok with ICU team ... caseyalbin #PhysicalExam ... #neurology #comatose