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Winged Scapula on Physical Exam

Caused by injury to the long thoracic nerve

#Winged #Scapula #PhysicalExam #clinical #video
Physical Exam Caused ... long thoracic nerve ... Winged #Scapula #PhysicalExam ... video #neurology #msk
Patterns of Diseases on MRI FLAIR - Differential Diagnosis
ADEM, Adreno-leukodystrophy, CADASIL, CNS, Lymphoma, High-Grade Glioma, HIV
of Diseases on MRI ... FLAIR - Differential ... Adreno-leukodystrophy, CADASIL, CNS ... Patterns #Diseases #MRI ... #Differential #
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Ill (Oculomotor) Nerve ... (Trochlear) Nerve ... (Abducens) Nerve ... Skew Deviation Casey ... ophthalmology #neurology #differential
Unilateral Acute Vision Loss - Differential Diagnosis Algorithm
Painful - Cornea
 • Keratopathy
Painful - No Abnormalities of
Vision Loss - Differential ... Abnormalities of the Optic Nerve ... Abnormalities of the Optic Nerve ... Demyelination • MS ... Diagnosis #Algorithm #Causes
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Causes of Neuromuscular ... Demyelinating Disease (MS ... Tumor • Motor Nerves ... multiplex, Phrenic nerve ... #differential #
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • CN VI palsy ... for ptosis with CN ... a mass as the cause ... #DoubleVision #Differential
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Spinal stenosis/nerve ... #Leg #pain #differential ... lower #extremity #msk ... #physicalexam
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Peripheral and Central Causes ... - Vestibular Nerve ... Vestibulocochlear Nerve ... (CN VIII): Vestibular ... #differential #
Tinnitus - Subjective (heard only by patient) - 90% - Differential Diagnosis Algorithm
Unilateral On Audiogram -
patient) - 90% - Differential ... Audiogram - Perform MRI ... Cochlear or Auditory Nerve ... • Metabolic Causes ... Diagnosis #Algorithm #Causes
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
CNS Ring-Enhancing ... Compatible syndrome + MRI ... + toxo IgG • CNS ... Lesions #Brain #differential ... #diagnosis #causes