62 results
Bilateral LMN palsy with tongue weakness, wasting and fasciculations.  →  Bulbar motor Neuron disease

Note
LMN palsy with tongue ... disease Note the wrinkled ... tongue which differentiates ... @bobvarkey #tongue ... hypoglossal #CNXII #CN12
Tongue Fasciculations Secondary to Hypoglossal Nerve Damage

Most commonly associated with ALS - This LMN XII was
Tongue Fasciculations ... @camwolfe #Tongue ... HypoglossalNerve #CNXII #CN12
Tongue Fasciculations in Left Hypoglossal Nerve Palsy

- Atrophy of affected side
- Fasciculations
- Tongue deviates towards weak
Tongue Fasciculations ... Fasciculations - Tongue ... weak side #Tongue ... #Palsy #CNXI #CN12
Tongue Pathology 

Geographic tongue, fissured tongue, and hairy tongue are the most common tongue problems and
Tongue Pathology ... Geographic tongue ... , fissured tongue ... , and hairy tongue ... immunodeficiency, is caused
Sclerodactyly: Diffuse thickening of the skin on the hands, in this case due to Scleroderma. 
Note
hands, in this case ... loss of normal wrinkles
Right Hypoglossal Nerve Paralysis on Physical Exam

Note tongue deviation to the side of the weakness.

#Hypoglossal #Nerve
Physical Exam Note tongue ... neurology #CNXII #CN12
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Dissociation Causes ... • Infectious Causes ... Yellow fever, Dengue ... Non-Infectious Causes ... differential #diagnosis #causes
Childhood Immunization Schedule: Why we immunize
 • Diphtheria Toxin -> URT inflammation causes pseudomembrane with hardened
asymmetric reduction in tone ... within GI and URT causes ... Maternal viremia causes ... Hematogenous spread causes ... evasion techniques cause
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
BPM INFECTIOUS CAUSES ... • Fever OTHER CAUSES ... Dengue Fever NOTE ... There are specific cases ... #differential #causes
Cranial Nerve 12 Dysfunction: Stroke has resulted in loss of function of left CN 12. When
patient sticks tongue ... Clinical #Photo #CN12 ... CranialNerve12 #Tongue