13 results
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... Casey Albin MD @ ... caseyalbin #PhysicalExam
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
and Myotomes Motor ... , T1 (median) Reflexes ... Carpal Tunnel Syndrome ... #sensory #motor ... #arm #physicalexam
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Limb ischemia • Aortic ... refill - Poor pulses ... #Leg #pain #differential ... extremity #msk #physicalexam
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
Weakness - Lower motor ... lesion - Upper motor ... involved) - Tendon reflex ... in deep tendon reflexes ... #lesions #differential
Upper Motor Neuron (UMN) lesions are lesions occurring anywhere in the CNS from the brain up
medulla, and the cortico-spinal ... form part of the differential ... LMN syndromes are ... This lesion causes ... positive Babinski reflex
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
and Myotomes Reflexes ... • Cauda Equina Syndrome ... Commonly caused ... #sensory #motor ... #leg #physicalexam
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
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
The most common causes ... for retrobulbar optic ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... other potential causes ... clinical #video #ophthalmology ... #physicalexam # ... neurology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Vasculitides - Differential ... tract, and often causes ... • Cogan Syndrome ... Sensory and/or motor ... diminished, or tender pulses