20 results
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Locked-in syndrome ... myoclonic movements, tremors ... caseyalbin #PhysicalExam ... #neurology #comatose
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
mobilization or supine position ... Caused commonly ... disorders (eg Parkinson ... pleurothotonus #PhysicalExam ... #clinical #neurology
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
this specific case ... Hoffmanns #Sign #Reflex ... #Positive #Abnormal ... #clinical #video ... #neurology #PhysicalExam
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... involved) - Tendon reflex ... in deep tendon reflexes ... #lesions #differential ... #diagnosis #neurology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
, T1 (median) Reflexes ... "waiter's tip" position ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam
Myoedema in Hypothyroidism on Physical Exam

Hypothyroidism is a clinical syndrome resulting from the production, secretion or
syndrome resulting ... abolished tendon reflexes ... hammer, caused ... Hypothyroidism #PhysicalExam ... #neurology #endocrinology
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Causes of Neuromuscular ... Myelitis, Trauma, Tumor ... heavy metals), Critical ... #differential # ... diagnosis #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Causes of Dysarthria - Differential Diagnosis Algorithm
Lower Motor Neuron - Slow, Low Volume, Breathy Speech, Tongue
- Differential ... , harsh voice, Positive ... hyperactive gag reflex ... Monotone Speech • Parkinson's ... #Dysarthria #Neurology
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
Prevalence: 1-2 cases ... Clinical Manifestations ... emotions - A positive ... Strychnine poisoning, Parkinson's ... Management #treatment #neurology