11 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
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
Lesions of the Spinal ... involved) - Tendon reflex ... in deep tendon reflexes ... involvement Cauda ... #differential #
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
- Differential ... neurological lesion ... Lower roots -> Cauda ... dysfunction • Abnormal reflexes ... diagnosis #neurology #differential
Upper Motor Neuron (UMN) lesions are lesions occurring anywhere in the CNS from the brain up
to the spinal cord ... from the spinal cord ... in the spinal cord ... form part of the differential ... positive Babinski reflex
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
Dizziness - Differential ... Central: Stroke, CNS lesion ... dysfunction, Meds • Reflex ... Cerebellar/Posterior Cords ... Dizziness #dizzy #Differential
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Spasticity - Reflexes ... lesion • Bilateral ... less swollen - Lesion ... or optic nerve lesions ... management #neurology #differential
Tromner Sign on Physical Exam

The Trömner sign is commonly used as a clinical neurological examination for
Sign on Physical Exam ... upper motor neuron lesions ... of the spinal cord ... modified Rossolimo reflex ... Tromners #Sign #Reflex
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
multiple spinal cord ... regions of innervation ... Increased Jaw Jerk reflex ... Exam: clinical evidence ... conditions listed in differential