280 results
Left Sided Hemifacial Spasm on Physical Exam

Typically treated with botulinum toxin (Botox)

#Hemifacial #Spasm #PhysicalExam #clinical #video
Sided Hemifacial Spasm ... #Hemifacial #Spasm ... #PhysicalExam #clinical
Infantile Spasms 
Associated with Tuberous Sclerosis 
1) Flexor spasms: Sudden flexion of neck, trunk, arms, and
Infantile Spasms ... Sclerosis 1) Flexor spasms ... 2) Extensor spasms ... flexor-extensor spasms ... of the legs Clinical
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
or Esophageal Spasm ... Esophagus #Esophageal #Spasm
Hydrophobia on Physical Examination

Seen in the late stages of rabies.  Caused by painful paroxysmal contractions
contractions and spasms ... #PhysicalExam #clinical
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
Clinical Manifestations ... stiffness, rigidity, spasm ... emotional upset • Spasms ... death - diaphragm spasm ... of superimposed spasms
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
Differential Diagnosis Algorithm ... Diffuse Esophageal Spasm ... Differential #Diagnosis #Algorithm
Dysphagia Differential Diagnosis Algorithm
Oropharyngeal Dysphagia
Structural
 • Tumors
 • Zenker's Diverticulum
 • Foreign Bodv
Neuromuscular Toxic/Metabolic
 • Myasthenia
Differential Diagnosis Algorithm ... • Esophageal Spasm ... Differential #Diagnosis #Algorithm
Chicago Classification of Esophageal Motility Disorders
Achalasia
EGJ Outflow Obstruction
Distal Esophageal Spasm
Jackhammer Esophagus
Absent Contractility
Ineffective Motility
Rapid Contraction

#Chicago #Classification #Esophageal
Distal Esophageal Spasm
Trousseau's Sign of Hypocalcemia on Physical Exam

Carpopedal spasm caused by ischemia induced by an inflated blood
Carpopedal spasm ... #Hypocalcemia #clinical
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Pathophysiology: • Diffuse spasm ... may precipitate spasm