13 results
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... etiology of coma Abnormal ... movements; also normal ... flexion withdrawal, abnormal ... decortication), abnormal
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
Guillain–Barré syndrome (GBS)
(aka: Landry–Guillain–Barré–Strohl syndrome:
	Most common cause of acute flaccid paralysis
	Rapidly progressive ascending paralysis & areflexia
	Autonomic
Guillain–Barré syndrome ... lower to upper areas ... Differential diagnosis ... dysfunction with normal ... Pain, weakness, abnormal
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... initial response to abnormal ... *Abnormal USS may ... #LFTs #Abnormal ... Liver #Enzymes #Differential
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
meningococcal, H1N1) Clinical ... Clinical Features ... Decreased / Absent Reflexes ... CSF PROTEIN - NORMAL ... management #treatment #neurology
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
transplantation CLINICAL ... depressed deep tendon reflexes ... protein with a normal ... - Of note, normal ... and sensitive tests
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
Inverted Supinator Test ... side of the wrist normally ... An abnormal response ... #Reflex #neurology ... #clinical #video
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Algorithm and Differential ... electrolytes, urea ... investigations abnormal ... investigations depending on clinical ... #Diagnosis #nephrology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Arboviruses: - West ... Mildly decreased/Normal ... glucose level, • Normal ... • Common clinical ... <40 mg/dL • Normal
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
Cord Disorders - Differential ... neurological lesion: Clinical ... injury • Gait is abnormal ... dysfunction • Abnormal ... reflexes: Areflexia