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

Note
LMN palsy with tongue ... @bobvarkey #tongue ... #atrophy #fasciculations ... #LMN #hypoglossal ... video #neurology #physicalexam
Tongue Fasciculations in Left Hypoglossal Nerve Palsy

- Atrophy of affected side
- Fasciculations
- Tongue deviates towards weak
Tongue Fasciculations ... in Left Hypoglossal ... Nerve Palsy - Atrophy ... Fasciculations #Hypoglossal ... video #neurology #physicalexam
Orbicularis Reflex in an Alzheimer's Patient on Physical Exam

Alzheimer's is a degenerative, progressive and irreversible disease.
Orbicularis Reflex ... time, and can cause ... delusions and, in some cases ... The atrophy of the ... #PhysicalExam #
In this video, you see right sided atrophy, right sided deviation, and fasiculations R>L, indicating a
see right sided atrophy ... Remember: atrophy ... skull base, the hypoglossal ... NateWarnerMD #Tongue ... Fasciculations #PhysicalExam
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
, T1 (median) Reflexes ... Erb's Palsy is caused ... distribution with atrophy ... Dislocation - May cause ... sensory #motor #arm #physicalexam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Gag reflex ... • Cough reflex ... Motor/Sensory: • Tone ... Casey Albin MD @ ... caseyalbin #PhysicalExam
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
- Emergency Causes ... extremity muscle atrophy ... decreased rectal tone ... wink test - reflex ... differential #diagnosis #causes
Galant Reflex on Physical Exam

The Galant reflex is present at birth and remains until the 2nd
Galant Reflex on ... The Galant reflex ... possible change in tone ... persistent in cases ... #PhysicalExam #
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
- Causes progressive ... muscles, muscle atrophy ... Increased Jaw Jerk reflex ... loss of muscle (atrophy ... fasciculations) • BULBAR: Tongue
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
decreased muscle tone ... Non-compressive Spinal Cord Causes ... Influenza, EBV, Dengue ... dysfunction • Abnormal reflexes ... Loss of muscle (atrophy