9 results
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
Physical Exam ... sensitivity to cold ... the ankle jerk reflex ... a deep-tendon reflex ... Hypothyroidism #Ankle #Reflexes
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
Woltman’s sign on ... Physical Exam - ... sensitivity to cold ... the ankle jerk reflex ... 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
 •
constipation Differential ... Diagnosis: • Spinal cord ... spondylitis • Tethered cord ... Diastematomyelia Physical Exam ... Equina #syndrome #differential
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
Spinal Cord Disorders ... - Differential ... Lower roots -> Cauda ... dysfunction • Abnormal reflexes ... #spinalcord #disorders
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
of the Spinal cord ... involved) - Tendon reflex ... in deep tendon reflexes ... involvement Cauda ... syndromes #lesions #differential
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Focal inflammatory disorder ... Spasticity - Reflexes ... , MOG antibody disorders ... (MOG) antibody disorders ... management #neurology #differential
Upper Motor Neuron (UMN) lesions are lesions occurring anywhere in the CNS from the brain up
to the spinal cord ... pathology and muscle disorders ... may mimic an LMN disorder ... form part of the differential ... positive Babinski reflex
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
multiple spinal cord ... Increased Jaw Jerk reflex ... Exam: clinical evidence ... conditions listed in differential
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... history • Physical exam ... Esophageal spasm • Reflux ... Psychiatric: • Panic disorder ... Palpitations #Cardiology #Differential