95 results
Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam

Dancing eyes and dancing feet in an adult [Aka-
Myoclonus Ataxia Syndrome ... myoclonus ataxia syndrome ... multidirectional fast eye movements ... #PhysicalExam # ... clinical #video
Locked-In Syndrome on Physical Exam

56 year-old male with acute onset altered sensorium. Suffered a cardiac arrest
Locked-In Syndrome ... Look at the eye movement ... #LockedIn #Syndrome ... #PhysicalExam # ... clinical #video
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... caseyalbin #PhysicalExam ... neurology #comatose #diagnosis
Trigeminal Neuralgia [Tic douloureux] 
Clinical 
 • Excruciating paroxysmal pain 
 • Right > Left side
douloureux] Clinical ... nerve, eating, or movement ... spontaneous remission Management ... TicDouloureux #Diagnosis ... #Management #Headache
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Clinical Manifestations ... of Serotonin Syndrome ... slow horizontal movements ... shock) Spectrum of Clinical ... spectrum #signs #diagnosis
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
paradoxical chest wall movement ... Typical management ... Trauma #Video #Clinical ... #PhysicalExam #
Hypereosinophilia and Hypereosinophilic Syndrome

 • Secondary Hypereosinophilic Syndrome
 • Clinically Relevant HES Variants
 • When to
Hypereosinophilic Syndrome ... • Clinically ... disorders • Diagnosis ... #eosinophils #diagnosis ... #management #algorithm
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
and Management ... Clinical Manifestations ... Triggers - sudden movement ... triggered by noise, movement ... #Management #treatment
Hypothyroidism – symptoms and signs.

Symptoms: 
Tiredness/malaise, 
Weight gain,
Anorexia,
Cold intolerance, 
Poor memory,
Change in appearance, 
Depression, 
Poor libido,
, Poverty of movement ... Carpal timel syndrome ... Signs #Symptoms #Diagnosis ... #PhysicalExam #
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... Cardiovascular MRI Clinical ... Abnormal ECG, echocardiogram ... cardiac death Management