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The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Pathophysiology: • Severe injury ... Awareness • Injury ... caseyalbin #PhysicalExam ... neurology #comatose #diagnosis
Relative Afferent Pupillary Defect This maneuver of intermittent light stimulus is called the alternating light test or
the pupillary reflex ... very sensitive diagnostic ... afferent pathway injury ... Pupils #MacrusGunn #PhysicalExam
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 Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
, T1 (median) Reflexes ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... sensory #motor #arm #physicalexam
Pediatric Primitive Reflexes - Maneuver and Ages Palmar Grasp Reflex - Place your fingers into the baby's
Pediatric Primitive Reflexes ... Palmar Grasp Reflex ... Rooting Reflex ... Pediatrics #Peds #Diagnosis ... #Neurology #PhysicalExam
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
spinal artery injury ... function below injury ... below level of injury ... bladder and rectal reflex ... #Syndromes #diagnosis
Spinal Cord Injury by Nerve Root Levels Spinal Root Sensory Motor Reflex C4 Acromioclavicular Joint Respiration None C5 Radial Antecubital Fossa Elbow Flexion Biceps Reflex C6 Dorsal Thumb Wrist Extension Brachioradialis Reflex C7 Dorsal
Spinal Cord Injury ... Sensory Motor Reflex ... Flexion Biceps Reflex ... #SpinalCord #Injury ... #differential #diagnosis
Hoffmann's Sign Hoffman's sign means upper motor neuron injury. The Hoffmann's reflex test itself involves loosely
upper motor neuron injury ... The Hoffmann's reflex ... Hoffmanns #Sign #Reflex ... video #neurology #physicalexam
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 Positive Hoffmann's sign (finger flexor reflex) in a patient with Multiple Sclerosis The Hoffmann's reflex test itself
(finger flexor reflex ... The Hoffmann's reflex ... positive Hoffmann’s reflex ... diseases, the reflexes ... #Video #Signs #PhysicalExam
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 Plantar Reflex (Babinski) Equivalents Plantar toe reflex - Babinski - Move an object along the lateral aspect
Plantar Reflex ( ... Shin-toe reflex ... Calf-toe reflex ... and release #Diagnosis ... #Neurology #PhysicalExam
Oppenheim's Sign on Physical Exam There are some alternative maneuvers to search for the classic Babinski sign,
indicator of pyramidal injury ... Oppenheims #Sign #Reflex ... clinical #video #physicalexam
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