12 results
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Cauda Equina Syndrome ... dysfunction, and bilateral ... leg paresis. ... sensory #motor #leg ... #physicalexam
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
the adduction lag ... Abducting eye nystagmus ... during some of the movements ... #BINO #ocular #physicalexam ... clinical #video #neurology
Leg Motor Restlessness (LMR) on Physical Exam

Leg motor restlessness (LMR) - Similar to Restless Legs Syndrome
Leg Motor Restlessness ... Syndrome (RLS) ... NOT relieved by movement ... Restlessness #LMR #PhysicalExam ... clinical #video #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Locked-in syndrome ... dysfunction to the bilateral ... wrists clenched; legs ... wrists clenched; legs ... caseyalbin #PhysicalExam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
dissociaton; • Usually unilateral ... Holmes-Adie Syndrome ... abnormal extraocular movements ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... (no horizontal movement ... abduction with nystagmus ... #PhysicalExam # ... ophthalmology #neurology
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
Characteristic eye movements ... Downbeat nystagmus ... downgaze and also by lateral-down ... Ophthalmology #Neurology ... Video #Ocular #PhysicalExam
Downbeat Nystagmus on Physical Exam

65 year old female with new walking difficulty and dizziness. Why downbeat
The corrective movement ... downbeat 'fast' movements ... as it points to bilateral ... #PhysicalExam # ... ophthalmology #neurology
Alien Limb Syndrome on Physical Exam

Elderly lady with Parkinsonism (PSP) c/o left leg rising up spontaneously
Alien Limb Syndrome ... type- abnormal movements ... #Alien #Limb #Syndrome ... #PhysicalExam # ... #neurology
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
years with: • Unilateral ... • Or brainstem syndromes ... Incontinence • VISUAL: Nystagmus ... VEP’s: EEG of visual ... diagnosis #management #neurology