23 results
Muehrcke's Lines (Leukonychia striata)
Narrow while transverse lines (Not depressed, compared to Beau's lines). Usually 2 or
Narrow while transverse ... and nephrotic syndrome ... Leukonychia #striata #Fingernails ... #PhysicalExam # ... Clinical #Photo #Sign
Transverse lines of the fingernails. (A) Beau’s lines (arrows) of the thumbnail. (B) Mees’ lines (arrowheads)
of the fingernails ... the nails can be caused ... are a typical sign ... #FingerNails #Ridges ... #Clinical #PhysicalExam
Lindsay's Nails (Half-and-half Nails)
Distal brown transverse band seen in kidney disease. Caused by increased pigment deposition.

#Lindsays
Distal brown transverse ... Caused by increased ... #Lindsays #Fingernails ... #PhysicalExam # ... #HalfAndHalf #Sign
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Causes of Neuromuscular ... Demyelinating Disease (MS ... Syringomyelia, Tetanus, Transverse ... Guillain-Barre syndrome ... #differential #
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
involvement: Intractable nausea ... Other brainstem syndromes ... Many others • Transverse ... pain • Extra-CNS ... neurology #symptoms #signs
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
10-33% develop MS ... that results in CNS ... • Bilateral signs ... • Infectious causes ... management #neurology #differential
BEE Syndromes - Non-inflammatory Causes

Immune-mediated conditions affecting the Brain, Eye, and Ear

Visual or auditory symptoms in
Non-inflammatory Causes ... nervous system (CNS ... Non-inflammatory causes ... consistent with MS ... noninflammatory #differential
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Bone/Joint Causes ... #Leg #pain #differential ... lower #extremity #msk ... #physicalexam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Diagnosis: • CN ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
(CES) is usually ... - Emergency Causes ... myelopathy • Transverse ... #differential # ... diagnosis #causes