35 results
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Pronator Drift Testing ... extensor weakness - Sign ... test characteristics ... #physicalexam #diagnosis ... #neurology #cva
Pronator Drift (Pyramidal Drift) on Physical Exam

Testing showed pronator drift on the left side in this
Physical Exam Testing ... side in this 70-year-old ... the 50-second test ... clinical #video #neurology ... #cva #stroke
Effects of Strokes by Location - Anterior vs Posterior Localization

Anterior Circulation 
 - MCA 
 -
Strokes #Syndromes #CVA ... Territory #Symptoms #Signs ... #Diagnosis #Table ... GrepMed Recommended Text ... Review in Clinical Neurology
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
Physical Exam 53-year-old ... evaluation confirmed a diagnosis ... deep-tendon reflex, is a neurologic ... Clinical #Video #Neurology ... #Endocrinology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior #CVA ... #HeadImpulse #Testing
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... FOR TESTING: • ... dexamethasone suppression test ... Cushing #Syndrome #diagnosis ... #algorithm #endocrinology
Stages of Syphilis
Early Primary:
 • Painless chancre
 • Regional lymphadenopathy
Early Secondary:
 • Fever, malaise
 • Rash
• Within first year ... • >1 year after ... infection unknown - VA ... Stages #symptoms #signs ... #diagnosis
Parinaud's Syndrome
What?
 - Impaired upgaze
 - Light-near dissociation
 - Convergence retraction nystagmus
 - Eyelid retraction (Collier's
upgaze - Light-near ... Hydrocephalus → "setting ... sun sign" - Vascular ... Parinauds #Syndrome #diagnosis ... #pineal #neurology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Algorithm - Evaluation ... then go to stim testing ... Standard Stim test ... #Algorithm #ACTH ... #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential Diagnosis ... Algorithm Clinical ... , hypoglycemia Testing ... ACTH) stimulation test ... #Algorithm #endocrinology