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Winged Scapula on Physical Exam

Caused by injury to the long thoracic nerve

#Winged #Scapula #PhysicalExam #clinical #video
Physical Exam Caused ... by injury to the ... PhysicalExam #clinical #video ... #neurology #msk
Causes of HyperKalemia - Differential Diagnosis
Increased extracellular K+:
 • Tissue injury
 • Hemolysis
 • Rhabdomyolysis
 •
Causes of HyperKalemia ... - Differential Diagnosis ... K+: • Tissue injury ... blockers - MCW Nephrology ... #Causes
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Erb's Palsy is caused ... spared in this injury ... Dislocation - May cause ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Acute spinal cord injury ... in spinal cord injury ... Hyperreflexia: • Hypocalcemia ... #differential #diagnosis ... #table #neurology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... Malignancy True hypovolemia ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... Malignancy True hypovolemia ... #Hyponatremia #Nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... - Differential Diagnosis ... Pre-Renal: • Hypovolemia ... Acute #Kidney #Injury ... #nephrology #causes
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
to Acute Kidney Injury ... require urgent nephrology ... common culprits: Hypovolemia ... you confirmed diagnosis ... #nephrology
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
Causes of Seizures ... - Differential Diagnosis ... Traumatic brain injury ... Hypomagnesemia, Hypocalcemia ... #neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Nerve palsy • Medial ... Fasciculus (MLF) Iniury ... Skew Deviation Casey ... ophthalmology #neurology ... #differential #diagnosis