13 results
Shoulder Exam - Provocative Testing

Supraspinatus muscle injury:
 - Jobe’s Test
 - Hawkin’s Test
 - Drop Arm
Shoulder Exam - ... : - Neer Test ... Labral tear: - ... #Diagnosis #PhysicalExam ... #Shoulder #Testing
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Algorithm ADH ... Independent: • Tea ... and Toast Syndrome ... , Beer Potomania ... #Algorithm #causes
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
- Differential Diagnosis ... Algorithm Relative ... Syphilis (light-near ... Midbrain (Parinaud's Syndrome ... #Algorithm #Causes
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... Holmes-Adie Syndrome ... females Differential Diagnosis ... - no light-near ... dissociation • Other causes
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Algorithm Hypovolemic ... cirrhosis, nephrotic syndrome ... Polydipsia - Beer ... Potomania - Tea ... #Algorithm #diagnosis
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
- Differential Diagnosis ... The evaluation should ... audiometry • Patients should ... II ○ Susac’s syndrome ... #Differential #Diagnosis
Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect.

http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685

Normal
swinging light test ... object (to avoid a near ... Both pupils should ... Both pupils should ... #Diagnosis #PhysicalExam
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
without back pain at/near ... NMO-IgG (anti-AQP4) should ... negative, MOG-IgG test ... should be ordered ... need to be ruled
Efforts to standardize the approach to trauma have led to an algorithmic, thoughtless approach to trauma
have led to an algorithmic ... fantastically useful test ... as the critical diagnostic ... witnessed many cases ... patient might need
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... If ok with ICU team ... Casey Albin MD @ ... caseyalbin #PhysicalExam