21 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 ... and LMN signs to ... and LMN signs on ... EMG: LMN Signs in ... column Treatment
Incomplete spinal cord syndromes (ISCS)
 • Central - Small Lesion - Suspended sensory deficit, classic cape
sensory ataxia with positive ... Romberg sign, variable ... Ipsilateral weakness (UMN ... 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 ... Treat if other signs ... risk X Stop if no indication ... Peritonitis #SBP #diagnosis ... #prophylaxis #treatment
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
signs (Hyperreflexia ... Clonus, Babinski’s sign ... • Lhermitte’s sign ... pupillary defect SIGNS ... Signs and symptoms
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
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
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