21 results
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
- Emergency Causes ... Differential Diagnosis ... • Provocative Tests ... absent anal wink test ... #causes #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... result is positive (abnormal ... with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Upper Extremity ... , T1 (median) Reflexes ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
A normal plantar reflex response involves toe flexion, or even no movement. A positive test, also
reflex response ... A positive test, ... Babinski #Sign #Reflex ... #Plantar #PhysicalExam ... #Diagnosis #Neurology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
and Myotomes Reflexes ... • Cauda Equina Syndrome ... Commonly caused ... #neurology #sensory ... #motor #leg #physicalexam
Myoedema in Hypothyroidism on Physical Exam

Hypothyroidism is a clinical syndrome resulting from the production, secretion or
is a clinical syndrome ... drowsiness, weight gain ... hammer, caused ... Hypothyroidism #PhysicalExam ... clinical #video #neurology
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
the pupillary reflex ... very sensitive diagnostic ... regarding the cause ... Pupillary #Defect #Neurology ... Pupils #MacrusGunn #PhysicalExam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... Ill Palsy - abnormal ... dissociation • Other causes ... #neurology #ophthalmology
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
of injury • Gait ... Non-compressive Spinal Cord Causes ... MCTD, Sjogren syndrome ... reflexes: Areflexia ... #neurology #differential