2117 results
Nuchal Rigidity in Infantile Bacterial Meningitis

Flexion of the neck revealed nuchal rigidity. The patient was unable
Owing to the hypertonic ... PhysicalExam #Clinical #Video
Nuchal Rigidity in Infantile Bacterial Meningitis

Flexion of the neck revealed nuchal rigidity. The patient was unable
Owing to the hypertonic ... PhysicalExam #Clinical #Video
Scarf Sign (Normal) on Physical Exam

The scarf sign is used to assess developmental age and muscle
chest; in the hypotonic ... PhysicalExam #clinical #video ... #hypotonia #hypotonic
Hoffmann's Reflex on Physical Exam
The Hoffmann's reflex itself involves loosely holding the middle finger and flicking
jerks suggest hypertonia ... neurology #UMN #video
Positive Hoffmann's sign (finger flexor reflex) in a patient with Multiple Sclerosis

The Hoffmann's reflex test itself
jerks suggest hypertonia ... Abnormal #Clinical #Video
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
water Extrarenal hypotonic ... salt intake: • Hypertonic
Goals and limits for treatment of Hyponatremia Stratified by duration and risk of Osmotic Demyelination Syndrome
Syndrome (ODS) Acute Hypotonic ... mL boluses of hypertonic ... time, followed by hypertonic ... Otherwise, hypertonic ... normalization Chronic Hypotonic
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Hyponatremia Algorithm Hypertonic ... Urologic irrigants Hypotonic
Causes of Polyuria - Differential Diagnosis Algorithm
Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min)
Osmotic
administration Hypertonic ... Primary polydipsia Hypotonic
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
Hypo-osmolar Hypotonic ... #Differential #Hypotonic