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diagnosis differential management causes treatment nephrology ddxof neurology peds workup cardiology hematology gastroenterology pulmonary evaluation pediatrics em endocrinology criticalcare hepatology
Amyotrophic Lateral Sclerosis (ALS) Summary ALS: combination of the clinical examination finding of amyotrophy with the pathologic
involving both UMN ... combination of UMN ... sclerosis with pure UMN ... involvement • UMN ... combination of UMN
Incomplete spinal cord syndromes (ISCS) • Central - Small Lesion - Suspended sensory deficit, classic cape
Disproportionate motor (UMN ... Ipsilateral weakness (UMN ... small band of LMN ... paraparesis (mixed UMN ... and LMN types)
Upper Motor Neuron (UMN) lesions are lesions occurring anywhere in the CNS from the brain up
Motor Neuron (UMN ... However, in UMN ... UMC & LMN lesions ... UMN lesions are ... @DharSaty #UMN
Bilateral LMN palsy with tongue weakness, wasting and fasciculations. → Bulbar motor Neuron disease Note
Bilateral LMN palsy ... differentiates this from an UMN ... fasciculations #LMN
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 Generalized Weakness - Differential Diagnosis Framework "l feel weak": • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis •
Infection • Neuro: UMN ... stroke, tumor), LMN
Hoffmann's Reflex on Physical Exam The Hoffmann's reflex itself involves loosely holding the middle finger and flicking
clinical #neurology #UMN ... #video #Pyramidal
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 Pronator Drift (Pyramidal Drift) on Physical Exam @neurosurgerylefreak #Pronator #Drift #Pyramidal #PhysicalExam #clinical #video #neurology #cva #stroke
Pronator Drift (Pyramidal ... Pronator #Drift #Pyramidal
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 Elevated Liver Enzymes - Differential Diagnosis Algorithm Severe ALT > 15x ULN • Viral • Drugs/Toxins •
Differential Diagnosis Algorithm ... Severe ALT > 15x ULN ... Moderate ALT 5-15x ULN ... Mild ALT < 5x ULN ... Differential #Diagnosis #Algorithm
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... Severe - ALT >15X ULN ... Moderate - ALT 5-15X ULN ... Mild - ALT < 5x ULN ... Transaminitis #Algorithm
Abnormal (Positive) Babinski Sign on Physical Exam Dorsiflexion of the great toe with or without fanning of
patients with pyramidal ... video #reflex #pyramidal
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