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diagnosis management neurology clinical physicalexam algorithm video differential umn nephrology sign pyramidal reflex treatment pathology peritonitis causes classification cnxii hepatology
Bilateral LMN palsy with tongue weakness, wasting and fasciculations. → Bulbar motor Neuron disease Note
Bilateral LMN palsy ... differentiates this from an UMN ... fasciculations #LMN
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 Incomplete spinal cord syndromes (ISCS) • Central - Small Lesion - Suspended sensory deficit, classic cape
lower extremities, LMN ... small band of LMN ... paraparesis (mixed UMN ... and LMN types) ... weakness (purely LMN
Amyotrophic Lateral Sclerosis (ALS) Summary ALS: combination of the clinical examination finding of amyotrophy with the pathologic
, LMN and brainstem ... and LMN signs in ... atrophy, with pure LMN ... and LMN signs to ... and LMN signs on
Upper Motor Neuron (UMN) lesions are lesions occurring anywhere in the CNS from the brain up
motor neuron (LMN ... disorders may mimic an LMN ... In an LMN lesion ... LMN syndromes are ... LMN lesions are
Tongue Fasciculations Secondary to Hypoglossal Nerve Damage Most commonly associated with ALS - This LMN XII was
with ALS - This LMN
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 Generalized Weakness - Differential Diagnosis Framework "l feel weak": • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis •
Infection • Neuro: UMN ... stroke, tumor), LMN
Floppy Baby Syndrome • Infantile Botulism • Acute Flaccid Myelitis • Guillain Barre • Neonatal Myasthenia
is crucial • UMN ... LMN signs - Assess
Left Tongue Deviation caused by UMN XII palsy Looks can be deceiving. The UMN innervation of most
Deviation caused by UMN ... The UMN innervation ... looks like a left LMN ... CT brain ⬇️ Dx- UMN ... Tongue #Deviation #UMN
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 Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Gravis - Lack of UMN ... /LMN signs - Lack
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
: Areflexia UMN ... plantar response LMN
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