12 results
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
Woltman’s sign on ... jerk reflexWoltman ... Woltman’s sign, ... #Woltmans #Signs ... #PhysicalExam #
Spinal Cord Injury by Nerve Root Levels
Spinal Root	Sensory	Motor	Reflex
C4	Acromioclavicular Joint	Respiration	None
C5	Radial Antecubital Fossa	Elbow Flexion	Biceps Reflex
C6	Dorsal Thumb	Wrist Extension	Brachioradialis Reflex
C7	Dorsal
Spinal Root Sensory Motor ... None T1 Ulnar ... Femoral Condyle Knee ... Dorsiflexion Knee ... #differential #diagnosis
A normal plantar reflex response involves toe flexion, or even no movement. A positive test, also
normal plantar reflex ... as a Babinski sign ... with an upper motor ... #PhysicalExam ... #Diagnosis #Neurology
Triple Flexion Reflex (TFR) on Neurological Examination

Triple flexion reflex (TFR) is a sign of upper motor
Triple Flexion Reflex ... a sign of upper ... motor neuron dysfunction ... of the toe and ankle ... knee and flexion
Mytomes - Segmental Innervation of Muscles
Shoulder	Abduction	C5	Axillary Nerve
Shoulder	Adduction	C6-C8	Thoracodorsal Nerve
Elbow	Flexion	C5	Musculocutaneous Nerve
Elbow	Extension	C7	Radial Nerve
Wrist	Extension	C6	Radial Nerve
Fingers	Flexion	C8	Median Nerve
Fingers	Abduction	T1	Ulnar Nerve
Hip	Flexion	L2	Nerve to Psoas
Hip	Extension	S1	Inferior Gluteal
Fingers Abduction T1 Ulnar ... Gluteal Nerve Knee ... Femoral Nerve Ankle ... MuscleGroups #MSK #Orthopedics ... #Neurology #Diagnosis
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... withdrawal, abnormal flexor ... • Examine for signs ... caseyalbin #PhysicalExam ... neurology #comatose #diagnosis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
and Myotomes Motor ... Abduction - C8-T1 (ulnar ... , T1 (median) Reflexes ... Dermatomes #Myotomes #diagnosis ... #arm #physicalexam
Reflexes - Deep Tendon Reflexes on Newborn Physical Exam 
Testing deep tendon reflexes is an important
Next, I go to the ankle ... I can’t get an ankle ... predominantly flexor ... cause is an upper motor ... #Newborn #PhysicalExam
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
Complete hemicord lesion ... bladder and rectal reflex ... Injury #Syndromes #diagnosis ... pathophysiology #signs ... symptoms #msk #orthopedics
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
and Myotomes Reflexes ... : • Knee - L2 ... , L3, L4 • Ankle ... neurology #sensory #motor ... #leg #physicalexam