Dissociation video fundoscopy sign neurology umn hand tongue diagnosis - GrepMed

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

Note

with tongue weakness ... , wasting and fasciculations ... differentiates this from an UMN ... CN12 #clinical #video ... #neurology #physicalexam

Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic

and LMN signs in ... and LMN signs to ... and LMN signs on ... EMG: LMN Signs in ... Lateral #Sclerosis #neurology

Tongue Fasciculations Secondary to Hypoglossal Nerve Damage

Most commonly associated with ALS - This LMN XII was

Tongue Fasciculations ... with ALS - This LMN ... post radiation and ... PhysicalExam #Clinical #Video ... #CNXII #CN12 #Neurology

Incomplete spinal cord syndromes (ISCS)
• Central - Small Lesion - Suspended sensory deficit, classic cape

positive Romberg sign ... of LMN and sensory ... and LMN types) ... spinalcord #syndromes #diagnosis ... #neurology

Hoffmann's Reflex on Physical Exam
The Hoffmann's reflex itself involves loosely holding the middle finger and flicking

thumb on the same hand ... are not useful signs ... Hoffmanns #Reflex #Sign ... PhysicalExam #clinical #neurology ... #UMN #video #Pyramidal

Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS

Faget's Sign & Liebermeister's ... Dengue Fever NOTE ... and the most likely ... #Fagets #Sign #Pulse ... #diagnosis #differential

Left Tongue Deviation caused by UMN XII palsy

Looks can be deceiving. The UMN innervation of most

Left Tongue Deviation ... from the left and ... bobvarkey #Left #Tongue ... palsy #clinical #video ... #physicalexam #neurology

Parinaud's syndrome
What?
• Light-near dissociation (tectal pupils)
• Convergence retraction nystagmus
• Eyelid retraction (Collier's sign)

• Light-near dissociation ... "setting sun" sign ... Dorsal midbrain and ... Parinauds #syndrome #neurology ... #diagnosis

Tongue Fasciculations and atrophy of the tongue as a sign of bulbar denervation. It is a

and atrophy of ... the tongue as a ... sign of bulbar denervation ... atrophy #clinical #video ... #neurology #denervation

Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
• Symptoms and signs below

- Differential Diagnosis ... signs below the ... decreased muscle tone ... : Areflexia UMN ... #neurology #differential

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