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algorithm physicalexam clinical management ophthalmology cord disorders spinal spinalcord syndromes adies alice alte bee braindead braindeath brue cauda caudaequina comatose
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: • ... • Locked-in syndrome ... Casey Albin MD @ ... #PhysicalExam #neurology
Causes of Excessive Daytime Sleepiness - Differential Diagnosis Algorithm Insufficient Sleep • Poor Sleep Hygiene • Insomnia
Causes of Excessive ... Periodic Limb Movement ... Disorders • Neurologic ... Parkinson's, MS) ... #Causes
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... Guillain-Barré syndrome ... #differential # ... diagnosis #table ... #neurology
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... Skew Deviation Casey ... ophthalmology #neurology ... #differential # ... diagnosis #ocular
Alice in Wonderland Syndrome What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... macropsia), color, movement ... (Many causes!) ... #diagnosis #neurology ... #differential
Causes of Apparent Life Threatening Event (ALTE) - Differential Diagnosis Algorithm Cardiac: • Congenital Heart Disease •
Causes of Apparent ... Diagnosis Algorithm ... Metabolism • Reye's Syndrome ... Disturbances Neurologic ... Gastroesophageal Reflux
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Causes of Neuromuscular ... Demyelinating Disease (MS ... Guillain-Barre syndrome ... #differential # ... diagnosis #neurology
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 ... Diagnosis: • ... #differential # ... diagnosis #causes ... #neurology
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Diagnosis: • CN ... dissociation • Other causes ... #PhysicalExam #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... involved) - Tendon reflex ... in deep tendon reflexes ... #lesions #differential ... #diagnosis #neurology
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