11 results
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
evaluation confirmed a diagnosis ... Woltmans #Signs #PhysicalExam ... #Reflexes #Delayed ... #Clinical #Video ... #Neurology #Endocrinology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... • Vestibulo-ocular ... caseyalbin #PhysicalExam ... #diagnosis
Myoedema in Hypothyroidism on Physical Exam

Hypothyroidism is a clinical syndrome resulting from the production, secretion or
is a clinical syndrome ... (shown in the video ... caused by the delayed ... Hypothyroidism #PhysicalExam ... #clinical #video
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
the pupillary reflex ... very sensitive diagnostic ... Pupillary #Defect #Neurology ... #Clinical #Video ... Pupils #MacrusGunn #PhysicalExam
Intraoperative Thompson Test - Assessing the Achilles’ tendon following a surgical repair for rupture. The calf
more reliable indication ... able to plantar flex ... Intraoperative #physicalexam ... sports #clinical #video ... #tendon #ankle
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
Differential Diagnosis ... • Provocative Tests ... absent anal wink test ... #differential #diagnosis ... #causes #neurology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
and Myotomes Reflexes ... L2, L3, L4 • Ankle ... • Cauda Equina Syndrome ... Dermatomes #Myotomes #diagnosis ... #motor #leg #physicalexam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Regular and mildly dilated ... dark; • Slow redilation ... Holmes-Adie Syndrome ... females Differential Diagnosis ... #Adies #Pupil #PhysicalExam
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
- Differential Diagnosis ... (bilateral age related ... Use of ototoxic medications ... II ○ Susac’s syndrome ... #Differential #Diagnosis
Hoffmann's sign was originally described as follows: the test is performed by supporting the patient's hand
as follows: the test ... is completely relaxed ... #Clinical #Video ... Hoffmanns #Sign #PhysicalExam ... #Neurology #Reflex