10 results
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Upper Extremity Dermatomes ... Saturday night palsy ... #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... : • CN Ill Palsy ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
defect (RAPD). ... very sensitive diagnostic ... semiologianeurologica #RAPD ... #Defect #Neurology ... Pupils #MacrusGunn #PhysicalExam
Horner's Syndrome
 • Anhidrosis: Diminished sweating of ipsilateral face and neck
 • Miosis: Loss of sympathetic
Horner's Syndrome ... innervation to dilator pupillae ... oculomotor nerve palsy ... neudrawlogy #Horners #Syndrome ... #diagnosis #neurology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
Lower Extremity Dermatomes ... • Cauda Equina Syndrome ... #Myotomes #diagnosis ... #neurology #sensory ... #motor #leg #physicalexam
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... An APD was noted ... the hospital, diagnosed ... #PhysicalExam # ... ophthalmology #neurology
Paraproteinemias

Entities That Can Feature A Monoclonal Protein/M Component:
• MM
• WM
• MGUS
• MGCS
• MGRS
• Splenic Marginal Zone
• Neutrophilic dermatosis ... Clarkson/Systemic capillary ... et diutinum Neurologic ... Subcorneal pustular dermatosis ... #Differential #Diagnosis
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... pain hematuria syndrome ... - RBC casts → Diagnostic ... embolism • AVM • Papillary ... Radiation • Rapid
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... - Prolonged capillary ... arthritis - Rapid ... #differential #diagnosis ... extremity #msk #physicalexam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Reflexes: • Pupillary ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis