8 results
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Rapid downward movement ... Casey Albin MD @ ... caseyalbin #PhysicalExam ... #neurology #comatose
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
this specific case ... middle finger. 2) Ask ... Hoffmanns #Sign #Reflex ... Abnormal #clinical #video ... #neurology #PhysicalExam
Downbeat Nystagmus on Physical Exam

65 year old female with new walking difficulty and dizziness. Why downbeat
causes downbeat ... Downbeat #Nystagmus #PhysicalExam ... #clinical #video ... #ocular #ophthalmology ... #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Young females Differential ... abnormal extraocular movements ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
(no horizontal movement ... diagnosed with MS ... Half #Syndrome #PhysicalExam ... #ophthalmology ... #neurology
Lazarus Reflex on Physical Exam

The Lazarus sign is a reflex movement observed in brain-dead or brainstem
movement observed ... reported in some cases ... #PhysicalExam # ... clinical #video ... #neurology #criticalcare
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
during some of the movements ... long standing MS ... #BINO #ocular #physicalexam ... #clinical #video ... #neurology #ophthalmology
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
Characteristic eye movements ... The differential ... Nystagmus #Vertical #Ophthalmology ... #Neurology #Clinical ... #PhysicalExam