11 results
Hoffmann's Sign

Hoffman's sign means upper motor neuron injury.  The Hoffmann's reflex test itself involves loosely
The Hoffmann's reflex ... test itself involves ... #Positive #Abnormal ... #clinical #video ... #neurology #physicalexam
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
. 2) Ask the patient ... to relax the hand ... #Positive #Abnormal ... #clinical #video ... #neurology #PhysicalExam
Boyes' Test - Flexor Digitorum Superficialis Finger Examination

Evaluate the injured finger for flexion.
Inability to flex the
Inability to flex ... partial or complete tear ... #finger #hand # ... PhysicalExam #clinical ... #msk #orthopedics
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
An abnormal response ... consisting of finger ... #Reflex #neurology ... #physicalexam # ... orthopedics #msk
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
cases/100,000 per year ... Decreased / Absent Reflexes ... Paresthesias: Hands ... Diagnosis: • ... management #treatment #neurology
Flexor Digitorum Profundus Test

Isolate the distal interphalangeal joint over the edge of the table and observe
Inability to flex ... partial or complete tear ... #Jersey #Finger ... #Hand #PhysicalExam ... #sports #msk #orthopedics
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... If ok with ICU team ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
- Differential Diagnosis ... include a: • Neurologic ... : • Normal: Air ... Noise trauma ○ MS ... Labyrinthitis ○ Epstein-Barr
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Guillain-Barré Syndrome ... per 100,000 per year ... depressed deep tendon reflexes ... sensitive tests ... #management #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
counting fingers ... the hospital, diagnosed ... with MS, and started ... Half #Syndrome #PhysicalExam ... ophthalmology #neurology