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differential hyponatremia physicalexam dermatomes extremity hypotonic myotomes sensory alkalosis alte arm brue child chloride comatose dysarthria epilepticus event floppy hypernatremia
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Arms extended; wrists ... Casey Albin MD @ ... #PhysicalExam #neurology ... #comatose #diagnosis
Causes of Dysarthria - Differential Diagnosis Algorithm Lower Motor Neuron - Slow, Low Volume, Breathy Speech, Tongue
Causes of Dysarthria ... Algorithm Lower ... hyperactive gag reflex ... #Dysarthria #Neurology ... #Algorithm #Causes
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
and Myotomes Motor ... Pronation - C7, C8 Wrist ... , T1 (median) Reflexes ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... water loss, Serum Sodium ... mannitol, glucosuria Low ... Hypernatremia #Nephrology ... #Algorithm #Causes
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Algorithm Hypovolemic ... treat underlying cause ... , CNS Disease, Meds ... #Algorithm #diagnosis ... #nephrology #sodium
Causes of Apparent Life Threatening Event (ALTE) - Differential Diagnosis Algorithm Cardiac: • Congenital Heart Disease •
Causes of Apparent ... Disturbances Neurologic ... Gastroesophageal Reflux ... #Algorithm #Causes ... #Peds #Pediatrics
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
and Myotomes Reflexes ... Equina Syndrome - Low ... Commonly caused ... #neurology #sensory ... #motor #leg #physicalexam
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... can be high or low ... #differential #diagnosis ... #nephrology
THE LIMPING OR NON-WEIGHT BEARING CHILD PATHWAY RED FLAGS - In all cases there are specific markers which
FLAGS - In all cases ... splenomegaly, abnormal neurology ... #Limping #NWB #Algorithm ... Pathway #Child #Peds ... #Pediatrics #Diagnosis
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... alkalosis • Normal/low ... the indicated causes ... #nephrology #differential ... #diagnosis
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