21 results
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
dysfunction to the bilateral ... • Vestibulo-ocular ... reflex Pupils ... caseyalbin #PhysicalExam ... #neurology #comatose
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
dissociaton; • Usually unilateral ... females Differential Diagnosis ... abnormal extraocular movements ... #PhysicalExam # ... neurology #ophthalmology
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
Argyll Robertson Pupil ... small (1-2mm) pupil ... intact) - Usually bilateral ... #neurology #diagnosis ... ophthalmology #physicalexam
Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
  A. Visual Acuity
Pupils a. ... Light Reflex, Accommodation ... Ocular Movements ... Blood Vessels #Ocular ... Ophthalmology #PhysicalExam
Lazarus Sign / Reflex in Brain Death - Head Flexion

The presence of this complex spinal reflex
Lazarus Sign / Reflex ... the brain death diagnosis ... movement in brain-dead ... BrainDeath #BrainDead #Neurology ... video #clinical #PhysicalExam
Plantar Reflex (Babinski) Equivalents
Plantar toe reflex - Babinski - Move an object along the lateral aspect
Plantar Reflex ( ... object along the lateral ... object along the lateral ... and release #Diagnosis ... #Neurology #PhysicalExam
Lazarus Sign / Reflex in Brain Death - Head Turn

The presence of this complex spinal reflex
Lazarus Sign / Reflex ... the brain death diagnosis ... movement in brain-dead ... BrainDeath #BrainDead #Neurology ... video #clinical #PhysicalExam
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
clear sign of unilateral ... the pupillary reflex ... very sensitive diagnostic ... Pupillary #Defect #Neurology ... #MacrusGunn #PhysicalExam
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... occasionally it can occur bilaterally ... in those rare bilateral ... ophthalmology #physicalexam ... #neurology
A normal plantar reflex response involves toe flexion, or even no movement. A positive test, also
normal plantar reflex ... flexion, or even no movement ... Babinski #Sign #Reflex ... #Plantar #PhysicalExam ... #Diagnosis #Neurology