13 results
Gerstmann Syndrome
1) Finger agnosia - Inability to name their own fingers, affecting both sides
2) Right-left confusion
Gerstmann Syndrome ... able to copy Causes ... : Stroke (main cause ... Traumatic Brain Injury ... #neurology #diagnosis
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... Repetitive strain injury ... Trauma • Crush injury ... #lower #extremity ... #msk #physicalexam
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
Reflexes: • Knee ... • Cauda Equina Syndrome ... Commonly caused ... #neurology #sensory ... #motor #leg #physicalexam
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Upper Extremity ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Causes of Knee Effusions ... - Differential Diagnosis ... bearing after injury ... #Effusions #causes ... #msk #physicalexam
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
What’s the diagnosis ... time there is inability ... and other rarer causes ... Kussmauls #Sign #physicalexam ... clinical #video #jvp
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... consistent with a diagnosis ... experience, the cause ... ophthalmology #physicalexam ... #neurology #Anisocoria
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
- Differential Diagnosis ... below the site of injury ... Non-compressive Spinal Cord Causes ... MCTD, Sjogren syndrome ... #neurology #differential
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
very sensitive diagnostic ... regarding the cause ... afferent pathway injury ... Pupillary #Defect #Neurology ... Pupils #MacrusGunn #PhysicalExam