27 results
Milkmaid’s Grip of Chorea on Physical Exam
Milk maids grip is appreciated as an alternating squeezing and
appreciated as an alternating ... releasing of the finger ... of examiner’s fingers ... #Grip #Chorea #sign ... #PhysicalExam #
Tromner Sign on Physical Exam

Tromner sign indicates pyramidal release.  The Tromner sign is flexion of
thumb and index finger ... of the middle finger ... the examiner’s finger ... recognized as an alternative ... Video #Neurology #physicalexam
Iridodonesis

Physical examination revealed iridodonesis, or “dancing” of the iris, which was elicited by rapid movement of
movement, is a sign ... with Marfan’s syndrome ... Iris #SlitLamp #PhysicalExam ... #Video #Ophthalmology ... #Signs #Ocular
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
, Orbital apex syndrome ... tumor, Miller-Fisher ... syndrome, Multiple ... mass #Diplopia #differential ... #diagnosis #ophthalmology
Characteristic clinical manifestations of Down syndrome 
 
Typical craniofacial appearance 
 • Round face and flat
manifestations of Down syndrome ... incurved fifth finger ... #Downs #Syndrome ... #PhysicalExam # ... Features #Signs
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
Differential diagnoses ... for the neuro-ophthalmologic ... GBS • Miller-Fisher ... syndrome • Orbital ... #Diplopia #Differential
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a
Exophthalmos (Alternating ... The syndrome of ... Differentials for ... clinical #video #ophthalmology ... #physicalexam #
Tromner Sign on Physical Exam
Tromner sign indicates pyramidal release.  The Tromner sign is flexion of
thumb and index finger ... of the middle finger ... the examiner’s finger ... recognized as an alternative ... #Reflex #PhysicalExam
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
life-threatening Differential ... test - Cogan sign ... - Peek sign ... stimulation - Single fiber ... Gravis #diagnosis #management