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clinical physicalexam video neurology diagnosis differential ophthalmology hemifacial gastroenterology management ocular causes endocrinology esophageal algorithm dysphagia hypocalcemia nystagmus pediatrics sign
Left Sided Hemifacial Spasm on Physical Exam Typically treated with botulinum toxin (Botox) #Hemifacial #Spasm #PhysicalExam #clinical #video
Sided Hemifacial Spasm ... #Hemifacial #Spasm
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 Management of Jackhammer Esophagus or Esophageal Spasm Step 1: Assess the severity of the motility disturbance Step 2:
or Esophageal Spasm ... Esophagus #Esophageal #Spasm
Pendular Nystagmus on Ocular Exam Pendular nystagmus seen in this patient with multiple sclerosis #Pendular #Nystagmus #Ocular #PhysicalExam
Pendular Nystagmus ... Ocular Exam Pendular ... sclerosis #Pendular
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 Infantile Spasms Associated with Tuberous Sclerosis 1) Flexor spasms: Sudden flexion of neck, trunk, arms, and
Infantile Spasms ... Sclerosis 1) Flexor spasms ... 2) Extensor spasms ... flexor-extensor spasms ... year of age • Spasms
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary Epidemiology: • Prevalence: 1-2 cases per million -
stiffness, rigidity, spasm ... emotional upset • Spasms ... death - diaphragm spasm ... of superimposed spasms
Hydrophobia on Physical Examination Seen in the late stages of rabies. Caused by painful paroxysmal contractions
contractions and spasms
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 Chicago Classification of Esophageal Motility Disorders Achalasia EGJ Outflow Obstruction Distal Esophageal Spasm Jackhammer Esophagus Absent Contractility Ineffective Motility Rapid Contraction #Chicago #Classification #Esophageal
Distal Esophageal Spasm
Vasospastic (Prinzmetal) Angina Definition / Epidemiology: • Rest angina attributed to coronary artery vasospasm. • Patients often
Pathophysiology: • Diffuse spasm ... may precipitate spasm
Dysphagia - Differential Diagnosis Algorithm Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow Esophageal
Diffuse Esophageal Spasm
Chest Pain - Differential Diagnosis Framework Cardiovascular Causes of Chest Pain: • Myocardium: - Myocarditis - CAD/ACS - Valvulopathy - Myopericarditis
Esophageal: - Spasm
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