23 results
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
The median nerve ... acts both as an afferent ... #Positive #Abnormal ... clinical #video #neurology ... #PhysicalExam
Marcus Gunn Pupil - Relative Afferent Pupillary Defect (RAPD)
Definition: Afferent loop of the pupillary light reflex
Pupil - Relative Afferent ... pupillary light reflex ... ) Where: Optic nerve ... neuritis due to MS ... #Defect #RAPD #neurology
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
alternating light test ... the pupillary reflex ... very sensitive diagnostic ... Pupillary #Defect #Neurology ... Pupils #MacrusGunn #PhysicalExam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... threat Cranial Nerves ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
A normal plantar reflex response involves toe flexion, or even no movement. A positive test, also
reflex response ... A positive test, ... Babinski #Sign #Reflex ... #Plantar #PhysicalExam ... #Diagnosis #Neurology
Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect.

http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685

Normal
swinging light test ... 05/cmaj.140685 Normal ... back to right (normal ... #Diagnosis #PhysicalExam ... #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... Ill Palsy - abnormal ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
compression of nerve ... Differential Diagnosis ... • Provocative Tests ... absent anal wink test ... #causes #neurology
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
- Differential Diagnosis ... include a: • Neurologic ... : • Normal: Air ... II ○ Susac’s syndrome ... Noise trauma ○ MS
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... findings included abnormal ... clinical #video #ophthalmology ... #physicalexam # ... neurology