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The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
voice or noxious stimulation ... Test downward eye ... Test if patient ... Apply a noxious stimulation ... document response (tests
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
• Provocative Tests ... bulbocavernosus reflex ... absent anal wink test ... - reflex contraction ... upon pinprick stimulation
Pediatric Primitive Reflexes - Maneuver and Ages Palmar Grasp Reflex - Place your fingers into the baby's
Pediatric Primitive Reflexes ... Palmar Grasp Reflex ... Rooting Reflex ... Asymmetric Tonic Neck Reflex ... GrepMed Recommended Text
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
due to high ACTH stimulating ... with cosyntropin stimulation ... test: Steroids ... interact with stim test ... #Cosyntropin #Stimulation
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Insufficiency: • ACTH stimulation ... production • CRH stimulation ... long-term lack of stimulation ... chronic lack of stimulation ... by ACTH • CRH stimulation
Positive Hoffmann’s Test (Finger Flexor Reflex) on Physical Examination Indicates cervical spinal cord compression in this patient
Positive Hoffmann’s Test ... (Finger Flexor Reflex ... #Hoffmanns #Reflex ... #test #sign #Positive
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 Intact Corneomandibular (Wartenberg) Reflex Patient with pontine hemorrhage without impaired consciousness - Left corneal stimulation triggers contralateral
Corneomandibular (Wartenberg) Reflex ... - Left corneal stimulation ... corneomandibular reflex ... This reflex consists ... produced by corneal stimulation
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 Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test T-1m: Baseline cortisol drawn T0: 250 µg cosyntropin given IV T30m: Repeat
- Cosyntropin Stimulation ... Test T-1m: Baseline ... #Cosyntropin #Stimulation
Positive Hoffmann's sign (finger flexor reflex) in a patient with Multiple Sclerosis The Hoffmann's reflex test itself
(finger flexor reflex ... The Hoffmann's reflex ... test itself involves ... positive Hoffmann’s reflex ... diseases, the reflexes
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 Water Deprivation Test - Differential Diagnosis of Diabetes Insipidus (DI) Concept of WDT: endogenous vasopressin secretion is
Water Deprivation Test ... measured upon osmotic stimulation ... #Deprivation #Test
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