83 results
Stransky's Sign on Physical Exam - Babinski Equivalent
Stransky's sign is a clinical sign in which vigorous
Stransky's Sign ... Babinski Equivalent Stransky's ... sign is a clinical ... #Stranskys #Reflex ... clinical #neurology #UMN
Stransky's Sign on Physical Exam - Babinski Equivalent
Stransky's sign is a clinical sign in which vigorous
Stransky's Sign ... Babinski Equivalent Stransky's ... sign is a clinical ... #Stranskys #Reflex ... clinical #neurology #UMN
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
involving both UMN ... and LMN signs in ... and LMN signs to ... and LMN signs on ... EMG: LMN Signs in
Incomplete spinal cord syndromes (ISCS)
 • Central - Small Lesion - Suspended sensory deficit, classic cape
Disproportionate motor (UMN ... positive Romberg sign ... Ipsilateral weakness (UMN ... paraparesis (mixed UMN ... and LMN types)
Hoffmann's Reflex on Physical Exam
The Hoffmann's reflex itself involves loosely holding the middle finger and flicking
are not useful signs ... Hoffmanns #Reflex #Sign ... clinical #neurology #UMN
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... Severe ALT > 15x ULN ... Moderate ALT 5-15x ULN ... Mild ALT < 5x ULN ... Differential #Diagnosis #Algorithm
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... Severe - ALT >15X ULN ... Moderate - ALT 5-15X ULN ... Mild - ALT < 5x ULN ... Transaminitis #Algorithm
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Calculate absolute PMN ... %) • Correct PMN ... RBCs (subtract 1 PMN ... 50mg/dL, LDH > ULN ... Treat if other signs
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup Algorithm ... ascites WBC and PMN ... Differential #Diagnosis #Algorithm
Inflammatory Myopathies
Dermatomyositis
 • Onset: Subacute
 • Pattern: Proximal
 • CK: Up to 50X ULN
 • Autoantibodies:
CK: Up to 50X ULN ... heliotrope, shawl sign ... CK: Up to 50X ULN ... Proximal • CK: >50X ULN ... CK: Up to 10x ULN