13 results
Tongue Fasciculations Secondary to Hypoglossal Nerve Damage

Most commonly associated with ALS - This LMN XII was
Fasciculations Secondary to Hypoglossal ... Fasciculations #PhysicalExam ... Clinical #Video #Hypoglossal ... HypoglossalNerve #CNXII #CN12 ... #Neurology #Deficit
Bilateral LMN palsy with tongue weakness, wasting and fasciculations.  →  Bulbar motor Neuron disease

Note
fasciculations #LMN #hypoglossal ... #CNXII #CN12 #clinical ... #video #neurology ... #physicalexam
Right Hypoglossal Nerve Paralysis on Physical Exam

Note tongue deviation to the side of the weakness.

#Hypoglossal #Nerve
Right Hypoglossal ... #Hypoglossal #Nerve ... #Paralysis #PhysicalExam ... clinical #video #neurology ... #CNXII #CN12
Tongue Fasciculations in Left Hypoglossal Nerve Palsy

- Atrophy of affected side
- Fasciculations
- Tongue deviates towards weak
Fasciculations in Left Hypoglossal ... Fasciculations #Hypoglossal ... #Palsy #CNXI #CN12 ... clinical #video #neurology ... #physicalexam
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Cirrhosis, Nephrotic syndrome ... #Hyponatremia #Algorithm ... #diagnosis #sodium ... #nephrology
In this video, you see right sided atrophy, right sided deviation, and fasiculations R>L, indicating a
skull base, the hypoglossal ... Fasciculations #PhysicalExam ... Clinical #Video #Hypoglossal ... HypoglossalNerve #CNXII #CN12 ... #Neurology #Deficit
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... Diagnosis #Workup #Algorithm ... #nephrology #sodium
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... cirrhosis, nephrotic syndrome ... Differential #Diagnosis #Algorithm ... #diagnosis #nephrology ... #sodium
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Repeat the sodium ... • nephrotic syndrome ... Diagnosis #Workup #Algorithm ... #Nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Cirrhosis, Nephrotic syndrome ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology