10 results
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
Physical Exam ... relaxation of the ankle ... jerk reflexWoltman ... evaluation confirmed a diagnosis ... Hypothyroidism #Ankle
Woltman’s sign on Physical Exam - Hi-Res .mp4 version here: https://www.grepmed.com/images/13248

53-year-old man presented with fatigue and
Physical Exam - ... relaxation of the ankle ... jerk reflexWoltman ... evaluation confirmed a diagnosis ... a deep-tendon reflex
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 ... Diagnosis: • ... Diastematomyelia Physical Exam ... #differential # ... diagnosis #causes
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
and Myotomes Reflexes ... L2, L3, L4 • Ankle ... Conditions: • Cauda ... Equina Syndrome ... Dermatomes #Myotomes #diagnosis
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
involved) - Tendon reflex ... in deep tendon reflexes ... involvement Cauda ... #lesions #differential ... #diagnosis #neurology
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
Pain (Otalgia) - Differential ... Diagnosis Framework ... loss Physical Exam ... examination • Oral exam ... #diagnosis
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
Cord Disorders - Differential ... Diagnosis Framework ... Lower roots -> Cauda ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
Hearing Loss - Differential ... Diagnosis Framework ... hearing loss Exam ... II ○ Susac’s syndrome ... #Diagnosis #otology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... Diagnosis Framework ... history • Physical exam ... Esophageal spasm • Reflux ... Palpitations #Cardiology #Differential
Floppy Baby Syndrome
 • Infantile Botulism
 • Acute Flaccid Myelitis
 • Guillain Barre
 • Neonatal Myasthenia
Floppy Baby Syndrome ... tone, resistance, reflexes ... other physical exam ... #pediatrics #differential ... #diagnosis