14 results
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
sensitivity to cold ... and laboratory evaluation ... confirmed a diagnosis ... , is a neurologic ... #PhysicalExam #
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
sequestration • Saddle ... Mnemonic: • S - Saddle ... Differential Diagnosis ... : • Spinal cord ... #causes #neurology
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
bladder and rectal reflex ... . saddle anesthesia ... Injury #Syndromes #diagnosis ... pathophysiology #signs ... #orthopedics #neurology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
and Myotomes Reflexes ... Conditions: • Cauda ... pain, sciatica, saddle ... #neurology #sensory ... #motor #leg #physicalexam
Tromner Sign on Physical Exam

Tromner sign indicates pyramidal release.  The Tromner sign is flexion of
phalanx of the middle ... response in the upper extremity ... #Reflex #clinical ... #Video #Neurology ... #physicalexam
Woltman’s sign on Physical Exam - Hi-Res .mp4 version here: https://www.grepmed.com/images/13248

53-year-old man presented with fatigue and
sensitivity to cold ... the ankle jerk reflex ... and laboratory evaluation ... confirmed a diagnosis ... , is a neurologic
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
- Differential Diagnosis ... • Symptoms and signs ... Lower roots -> Cauda ... dysfunction • Abnormal reflexes ... #neurology #differential
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... Impotence - Saddle ... involvement Cauda ... #differential #diagnosis ... #neurology
Incomplete spinal cord syndromes (ISCS)
 • Central - Small Lesion - Suspended sensory deficit, classic cape
positive Romberg sign ... rectal dysfunction, saddle ... LMN types) • Cauda ... spinalcord #syndromes #diagnosis ... #neurology
Hoffmann's sign was originally described as follows: the test is performed by supporting the patient's hand
The middle finger ... other than the middle ... cervical spinal cord ... #PhysicalExam ... #Neurology #Reflex