20 results
Marcus Gunn Pupil - Relative Afferent Pupillary Defect (RAPD)
Definition: Afferent loop of the pupillary light reflex
pupillary light reflex ... impaired (loss of sensory ... ) Where: Optic nerve ... neuritis due to MS ... #Defect #RAPD #neurology
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 ... middle finger. 2) Ask ... clinical #video #neurology ... #PhysicalExam
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
Meralgia paresthetica: Pathogenesis and Clinical Findings
Compression/injury of Lateral Femoral Cutaneous Nerve (LFCN) -> Meralgia paresthetica
 •
Femoral Cutaneous Nerve ... nerve, thus symptoms ... gait, strength, reflexes ... Straight Leg Raise Test ... MeralgiaParesthetica #MSK
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
and Myotomes Reflexes ... • Cauda Equina Syndrome ... damage to peroneal nerve ... #neurology #sensory ... #motor #leg #physicalexam
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 ... and/or genital sensory ... • Provocative Tests ... absent anal wink test ... #causes #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... threat Cranial Nerves ... brainstem Motor/Sensory ... caseyalbin #PhysicalExam ... #neurology #comatose
Principal patterns of loss of sensation.
 (a) Thalamic lesion: sensory loss throughout opposite side (rare).
Brown—Séquard syndrome ... MS: loss of proprioception ... #Diagnosis #Neurology ... GrepMed Recommended Text ... Review in Clinical Neurology
Cauda Equina Syndrome
Causes:
 • Large lumbar degenerative disc herniation (central)
 • Severe lumbar spondylosis
 • Neoplasm
Cauda Equina Syndrome ... of normal leg reflexes ... damage to sacral nerves ... #MSK #pathophysiology ... #diagnosis #symptoms
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
Sensory loss below ... bladder and rectal reflex ... #diagnosis #pathophysiology ... signs #symptoms #msk ... #orthopedics #neurology