40 results
Pediatric Primitive Reflexes - Maneuver and Ages

Palmar Grasp Reflex
 - Place your fingers into the baby's
- Place your fingers ... all fingers to ... grasp your fingers ... Timeline #Pediatrics #Peds ... #Diagnosis #Neurology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... Repeat the sodium ... mmol/L - true hyponatremia ... • nephrotic syndrome ... Workup #Algorithm #Nephrology
Asymmetrical Tonic Neck Reflex (ATNR)

This primitive reflex found in newborn babies that normally vanishes around 4
This primitive reflex ... classically trained fencer ... #Tonic #Neck #Reflex ... PhysicalExam #clinical #video ... #Neurology #Peds
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic Hyponatremia ... Cirrhosis, Nephrotic syndrome ... Algorithm #diagnosis #sodium ... #nephrology
Hoffmann's Reflex on Physical Exam
The Hoffmann's reflex itself involves loosely holding the middle finger and flicking
holding the middle finger ... allowing the middle finger ... and finger jerks ... PhysicalExam #clinical #neurology ... #UMN #video #Pyramidal
Hoffmann's Sign

Hoffman's sign means upper motor neuron injury.  The Hoffmann's reflex test itself involves loosely
The Hoffmann's reflex ... holding the middle finger ... allowing the middle finger ... Abnormal #clinical #video ... #neurology #physicalexam
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... cirrhosis, nephrotic syndrome ... , CNS Disease, Meds ... Algorithm #diagnosis #nephrology ... #sodium
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
the patient to relax ... flexed middle finger ... Hoffmanns #Sign #Reflex ... Abnormal #clinical #video ... #neurology #PhysicalExam
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Based Approach to Hyponatremia ... Cirrhosis, Nephrotic syndrome ... SatyaPatelMD #Volume #Hyponatremia ... algorithm #diagnosis #sodium ... #low #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... Workup #Algorithm #nephrology ... #sodium