10 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
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
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Gag reflex ... Motor/Sensory: • Tone ... caseyalbin #PhysicalExam ... neurology #comatose #diagnosis
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
muscles, muscle atrophy ... progressive muscular atrophy ... Increased Jaw Jerk reflex ... loss of muscle (atrophy ... fasciculations) • BULBAR: Tongue
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
Differential Diagnosis ... extremity muscle atrophy ... decreased rectal tone ... wink test - reflex ... #differential #diagnosis
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
- Differential Diagnosis ... decreased muscle tone ... dysfunction • Abnormal reflexes ... Loss of muscle (atrophy ... spinalcord #disorders #diagnosis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
, T1 (median) Reflexes ... distribution with atrophy ... Dermatomes #Myotomes #diagnosis ... sensory #motor #arm #physicalexam
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
When the diagnosis ... best seen on the tongue ... checked for red reflex ... This reflex is not ... Newborn #Infant #PhysicalExam
Causes of Dysarthria - Differential Diagnosis Algorithm
Lower Motor Neuron - Slow, Low Volume, Breathy Speech, Tongue
- Differential Diagnosis ... Breathy Speech, Tongue ... and Facial Atrophy ... hyperactive gag reflex ... #Differential #Diagnosis