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diagnosis neurology differential spinalcord physicalexam syndromes acute algorithm baby bacterial clinical comatose cord disorders floppy hoffmanns injury iscs malignant management
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
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 Incomplete spinal cord syndromes (ISCS) • Central - Small Lesion - Suspended sensory deficit, classic cape
Incomplete spinal ... cord syndromes ... sensory ataxia with positive ... Romberg sign, variable ... #diagnosis #neurology
Floppy Baby Syndrome • Infantile Botulism • Acute Flaccid Myelitis • Guillain Barre • Neonatal Myasthenia
Floppy Baby Syndrome ... is crucial • UMN ... LMN signs - Assess ... tone, resistance, reflexes ... #pediatrics #differential
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
> Often mimics complete ... -> Complete hemicord ... bladder and rectal reflex ... pathophysiology #signs ... #orthopedics #neurology
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
• Acute stroke syndromes ... Paraneoplastic syndrome ... Gravis - Lack of UMN ... /LMN signs - Lack ... Differential #Diagnosis #neurology
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 ... fluoroquinolone to complete
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... previous gaze position ... previous gaze position ... • Examine for signs
Neuroleptic Malignant Syndrome - Diagnosis Neuroleptic Malignant Syndrome is an idiosyncratic reaction to antipsychotic medications classically characterized
antipsychotic medications ... of dopaminergic medications ... status: catatonic signs ... , sialorrhea), Reflexes ... #Diagnosis #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
• Symptoms and signs ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... : Areflexia UMN ... disorders #diagnosis #neurology
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