8 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
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
same as culture-positive ... bacterascites positive ... Treat if other signs ... risk X Stop if no indication ... SBP #diagnosis #management
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
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... Pads in AP position ... sedative & pain medication ... Patients DIE: Drugs ... #differential #management
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Airway Compromise - Position ... Apnea/poor effort, Signs ... ↓ BP is a late sign ... normalized vital signs ... Survey #CABCDE #management
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
bilateral, malignant, pediatric ... Symptoms and Signs ... common symptoms and signs ... hypotension (may reflect ... or with certain drugs
Evaluation of Recurrent Falls

Core Concept:
Maintaining an upright posture requires the integrated function of multiple systems.
Disruption in
Numbness in feet, positive ... Romberg sign ... Contributing Factors • Medications ... Differential #Evaluation #Geriatrics ... #Neurology