15 results
Hoffmann's Reflex on Physical Exam
The Hoffmann's reflex itself involves loosely holding the middle finger and flicking
A positive response ... are not useful signs ... #Sign #PhysicalExam ... #clinical #neurology ... #UMN #video #Pyramidal
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
and LMN signs in ... Increased Jaw Jerk reflex ... and LMN signs to ... and LMN signs on ... EMG: LMN Signs in
Incomplete spinal cord syndromes (ISCS)
 • Central - Small Lesion - Suspended sensory deficit, classic cape
Disproportionate motor (UMN ... sensory ataxia with positive ... Romberg sign, variable ... spinalcord #syndromes #diagnosis ... #neurology
A normal plantar reflex response involves toe flexion, or even no movement. A positive test, also
normal plantar reflex ... as a Babinski sign ... #Babinski #Sign ... PhysicalExam #Diagnosis ... #Neurology
Floppy Baby Syndrome
 • Infantile Botulism
 • Acute Flaccid Myelitis
 • Guillain Barre
 • Neonatal Myasthenia
is crucial • UMN ... LMN signs - Assess ... tone, resistance, reflexes ... Baby #Syndrome #pediatrics ... #differential #diagnosis
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... bacterascites positive ... Treat if other signs ... risk X Stop if no indication ... Peritonitis #SBP #diagnosis
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... Gravis - Lack of UMN ... /LMN signs - Lack ... #Differential #Diagnosis ... #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... previous gaze position ... previous gaze position ... • Examine for signs ... #comatose #diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... abdominojugular, reflux ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
- Differential Diagnosis ... • Symptoms and signs ... dysfunction • Abnormal reflexes ... : Areflexia UMN ... #neurology #differential