11 results
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
the ankle jerk reflex ... evaluation confirmed a diagnosis ... a deep-tendon reflex ... can also be associated ... Hypothyroidism #Ankle #Reflexes
Woltman’s sign on Physical Exam - Hi-Res .mp4 version here: https://www.grepmed.com/images/13248

53-year-old man presented with fatigue and
the ankle jerk reflex ... evaluation confirmed a diagnosis ... a deep-tendon reflex ... , is a neurologic ... can also be associated
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... , Acute spinal cord ... injury, Early ALS ... #differential #diagnosis ... #table #neurology
Hypothyroidism and Hyperthyroidism - Symptoms and Signs
Hypothyroidism:
 - General - From asymptomatic to myxedema coma, “Like
• Thinning of lateral ... • Tendon Reflex ... Delay (relaxation ... • Increased Reflexes ... #Diagnosis #endocrinology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Gag reflex ... • Cough reflex ... horizontal movements; also ... • Examine for signs ... #PhysicalExam #neurology
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
multiple spinal cord ... of UMN and LMN signs ... Increased Jaw Jerk reflex ... EMG: LMN Signs in ... #Sclerosis #neurology
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
: • Spinal cord ... lower extremity reflexes ... bulbocavernosus reflex ... wink test - reflex ... #causes #neurology
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
- Differential Diagnosis ... • Symptoms and signs ... dysfunction • Abnormal reflexes ... #neurology #differential ... #algorithm
Hoffmann's sign was originally described as follows: the test is performed by supporting the patient's hand
originally described as ... is completely relaxed ... cervical spinal cord ... PhysicalExam #Neurology ... #Reflex
Woltman's sign of hypothyroidism- ...At the time of presentation, a physical examination was notable for the
the ankle jerk reflex ... a deep-tendon reflex ... , is a neurologic ... One month later, ... #ankle #jerk #reflex