24 results
Tongue Fasciculations Secondary to Hypoglossal Nerve Damage

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

Note
LMN palsy with tongue ... @bobvarkey #tongue ... fasciculations #LMN #hypoglossal ... clinical #video #neurology ... #physicalexam
Tongue Fasciculations in Left Hypoglossal Nerve Palsy

- Atrophy of affected side
- Fasciculations
- Tongue deviates towards weak
Tongue Fasciculations ... in Left Hypoglossal ... Fasciculations #Hypoglossal ... clinical #video #neurology ... #physicalexam
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... Syndrome of Inappropriate ... Pain/Post-op • Neurologic ... • Nephrotic syndrome
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... Syndrome of Inappropriate ... Pain/Post-op • Neurologic ... • Nephrotic syndrome
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... • nephrotic syndrome ... Diagnosis #Workup #Algorithm ... #Nephrology
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic ... Cirrhosis, Nephrotic syndrome ... #Algorithm #diagnosis ... #sodium #nephrology
Right Hypoglossal Nerve Paralysis on Physical Exam

Note tongue deviation to the side of the weakness.

#Hypoglossal #Nerve
Right Hypoglossal ... Physical Exam Note tongue ... #Hypoglossal #Nerve ... #Paralysis #PhysicalExam ... clinical #video #neurology
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Tea and Toast Syndrome ... failure, nephrotic syndrome ... #causes #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... Cardiac failure #Hyponatremia ... Differential #Diagnosis #Algorithm ... #Causes #nephrology