49 results
Hyperreflexia in serotonin syndrome

- Dr. David Juurlink @DavidJuurlink

#Hyperreflexia #serotonin #syndrome #PhysicalExam #Clinical #Video #Knee #Reflexes
Hyperreflexia in serotonin syndrome ... Hyperreflexia #serotonin #syndrome ... #PhysicalExam # ... #Video #Knee #Reflexes
Sustained Clonus in Serotonin Syndrome

- Dr. David Juurlink @DavidJuurlink

#Clonus #serotonin #syndrome #PhysicalExam #Clinical #Video #Knee #Reflexes
Clonus in Serotonin Syndrome ... Clonus #serotonin #syndrome ... #PhysicalExam # ... #Video #Knee #Reflexes
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... • Gag reflex ... • Cough reflex ... caseyalbin #PhysicalExam
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
Cauda Equina Syndrome ... lumbar spine • MCC ... lower extremity reflexes ... bulbocavernosus reflex ... wink test - reflex
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
joint & passively flex ... finger at PIP 2) Flex ... MCP & passively ... flex at the PIP ... BunnelLittler #Test #PhysicalExam
Myoedema in Hypothyroidism on Physical Exam

Hypothyroidism is a clinical syndrome resulting from the production, secretion or
is a clinical syndrome ... abolished tendon reflexes ... percussion by the reflex ... Hypothyroidism #PhysicalExam
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
SVR • Risk of reflex ... activation • D1 (1-2 mcg ... mild alpha (5-10 mcg ... CO • a (>10 mcg ... Pharmacology #Summary #management
Peripheral Edema - Differential Diagnosis Framework for Lower Extremity Edema

Edema occurs when any of the following
• May-Thurner Syndrome ... regional pain syndrome ... type 1 (reflex ... • SVC syndrome ... Lower #Extremity #PhysicalExam
Freiberg's Test for Piriformis Syndrome

Flex the hip to 90 degrees, internally rotate the hip.
Pain in the
for Piriformis Syndrome ... Flex the hip ... #Piriformis #syndrome ... clinical #video #physicalexam
Hyperviscosity Syndrome - Causes and Treatment

 - Waldenstrom macroglobulinemia (most common) / Plasmapheresis 
 - Multiple
Hyperviscosity Syndrome ... transformation (CML ... Hyperviscosity #Syndrome ... Diagnosis #Treatment #Management