16 results
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Locked-in syndrome ... dysfunction to the bilateral ... , tremors) Reflexes ... caseyalbin #PhysicalExam ... #neurology #comatose
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
and Myotomes Reflexes ... • Cauda Equina Syndrome ... leg paresis. ... Myotomes #diagnosis #neurology ... #physicalexam
Bilateral Internuclear Ophthalmoplegia (BINO)

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

Leg motor restlessness (LMR) - Similar to Restless Legs Syndrome
Syndrome (RLS) ... NOT relieved by movement ... Restlessness #LMR #PhysicalExam ... #clinical #video ... #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... involved) - Tendon reflex ... in deep tendon reflexes ... involved - Bilateral ... multiradicular pain - Leg
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... abnormal extraocular movements ... trauma/orbital tumor ... #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 ... downgaze and also by lateral-down ... Ophthalmology #Neurology ... #Clinical #Video ... #Ocular #PhysicalExam
Primary Orthostatic Tremor

Primary ‘Shaky legs’ syndrome. High frequency oscillograph legs on standing. Note the fluttering of
Primary ‘Shaky legs ... ’ syndrome. ... #clinical #video ... #physicalexam # ... neurology
Primary Orthostatic Tremor

Primary ‘Shaky legs’ syndrome. High frequency oscillograph legs on standing. This video demonstrates closeup
Primary Orthostatic Tremor ... ’ syndrome. ... #clinical #video ... #physicalexam # ... neurology #legs