12 results
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior ... #CVA #Peripheral
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Mydriasis and Miosis - Differential ... Diagnosis Framework ... Horner's syndrome, Posterior ... hemorrhage, Pontine CVA ... #diagnosis #ophthalmology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Diagnosis Algorithm ... Infarction • Stable ... • Trauma - Neurologic ... #Differential #
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Young females Differential ... Diagnosis: • CN ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
may precede the neurologic ... narrowing on MRA/CTA ... Reversible course Differential ... the underlying cause ... with AEDs until cause
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Diagnosis Typically ... blood from vena cava ... Kussmauls #Sign #physicalexam ... #diagnosis #cardiology ... causes
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
the hospital, diagnosed ... with MS, and started ... Half #Syndrome #PhysicalExam ... clinical #video #ophthalmology ... #neurology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
= high-output state ... highest on my differential ... AorticRegurgitation #Diagnosis ... #PhysicalExam # ... Fingernails #Nailbed #Cardiology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... very remarkable w/differential ... identifies 85 to 95% of cases ... Start steroids if ... required +/- prompt ophthalmology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Definition: • Coma: a state ... consciousness Differential ... Diagnosis: • ... caseyalbin #PhysicalExam ... #neurology #comatose