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neurology clinical video differential management afferent braindead braindeath comatose criticalcare defect half lazarus macrusgunn multiple myelitis myoclonus one oneandahalf ophthalmology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... dysfunction to the bilateral ... • Examine for signs ... caseyalbin #PhysicalExam ... #diagnosis
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Multiple Sclerosis (MS ... nearly 3:1 • MS ... Fulminant Forms of MS ... criteria for MS ... #treatment #MS
Relative Afferent Pupillary Defect This maneuver of intermittent light stimulus is called the alternating light test or
It is a clear sign ... the pupillary reflex ... very sensitive diagnostic ... regarding the cause ... Pupils #MacrusGunn #PhysicalExam
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 Lazarus Reflex on Physical Exam The Lazarus sign is a reflex movement observed in brain-dead or brainstem
The Lazarus sign ... is a reflex movement ... after brain death diagnosis ... reported in some cases ... #PhysicalExam #
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 Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
10-33% develop MS ... Spasticity - Reflexes ... swollen, while in MS ... Predictive of MS ... Multiple sclerosis (MS
Causes of Myoclonus - Differential Diagnosis LOCALIZATION: • Cortical: Focal/multifocal: Distal UL+ Face, Action/sensitive induced • Sub-Cortical:
Causes of Myoclonus ... - Differential Diagnosis ... Inflammatory (MS ... substance withdrawal, contrast ... #Causes #neurology
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
(no horizontal movement ... The most common causes ... the hospital, diagnosed ... with MS, and started ... Half #Syndrome #PhysicalExam
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