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Bilateral LMN palsy with tongue weakness, wasting and fasciculations.  →  Bulbar motor Neuron disease

Note
differentiates this from an UMN ... bobvarkey #tongue #atrophy ... #hypoglossal #CNXII ... CN12 #clinical #video ... #neurology #physicalexam
In this video, you see right sided atrophy, right sided deviation, and fasiculations R>L, indicating a
In this video, you ... see right sided atrophy ... Remember: atrophy ... = LMN process! ... #CNXII #CN12 #Neurology
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Gottron sign) ... • Shawl sign • ... (also seen in association ... Raynaud phenomenon ... Myositis • Raynaud phenomenon