10 results
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
ED arrival MSK ... - Fractures, dislocations ... (posterior shoulder ... compartment syndrome ... Electricity #Evaluation #Diagnosis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
spared in this injury ... Dislocation - May ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... no light-near dissociation ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... Neurologic injuries ... (25%) TEST FOR: ... Compartment syndrome ... #msk #clinical
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Differential Diagnosis ... bearing after injury ... fracture - Patellar dislocation ... #differential #diagnosis ... #msk #physicalexam
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
to local skin injury ... ) • Neurologic ... Positive pathergy test ... is a skin prick test ... inhibitors • Uveitis- Ophthalmology
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
- Differential Diagnosis ... The evaluation should ... include a: • Neurologic ... II ○ Susac’s syndrome ... Noise trauma ○ MS
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
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
the hospital, diagnosed ... with MS, and started ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... NMO-IgG (anti-AQP4) should ... negative, MOG-IgG test ... should be ordered ... #management #neurology