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diagnosis neurology differential clinical management hepatology physicalexam video sign reflex treatment pyramidal algorithm lfts peritonitis cardiology causes cnxii hypoglossal liver
Rossolimo's Reflex on Physical Exam - Babinski Equivalent Rossolimo's sign is a clinical sign in which percussion
Rossolimo's Reflex ... Babinski Equivalent Rossolimo's ... #Rossolimos #Reflex ... clinical #neurology #UMN
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 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)
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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 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
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
Generalized Weakness - Differential Diagnosis Framework "l feel weak": • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis •
Infection • Neuro: UMN ... stroke, tumor), LMN
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
Calculate absolute PMN ... count (total WBC x PMN ... %) • Correct PMN ... RBCs (subtract 1 PMN ... 50mg/dL, LDH > ULN
Liver Function Test (LFTs) Elevation AST - Cardiac and skeletal muscle, kidney, brain ALT - More specific for
Phosphatase, ALT ≥ 3x ULN ... Transaminase, ALP ≥ 2x ULN ... Value = (ALT / ULN ... ALT) / (ALP / ULN
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis Spontaneous Bacterial Peritonitis • Cirrhosis (high SAAG)
) + ascites w/ PMN ... glucose < 50, LDH ULN
Elevated Liver Enzymes - Differential Diagnosis Algorithm Severe ALT > 15x ULN • Viral • Drugs/Toxins •
Severe ALT > 15x ULN ... Moderate ALT 5-15x ULN ... Mild ALT < 5x ULN
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