193 results
Orbicularis Reflex in an Alzheimer's Patient on Physical Exam

Alzheimer's is a degenerative, progressive and irreversible disease.
Orbicularis Reflex ... found, such as the orbicular ... To evaluate the Orbicular ... contraction of the orbicularis ... #Snout #Pout #Reflex
Snout (Pout) Reflex on Physical Exam
The Snout reflex or a "Pout" is a pouting or pursing
Snout (Pout) Reflex ... Physical Exam The Snout ... to resemble a snout ... semiologianeurologica #Orbicularis ... #Snout #Pout #Reflex
Addictions: Pathogenesis

Mesolimbic Dopaminergic Pathway:
 • Dopaminergic neurons in Ventral Tegmental Area (VTA) in midbrain under continuous
Addictions: Pathogenesis ... which influence addictive ... behaviours -> Addiction ... Withdrawal) #Drug #Addiction
Mytomes - Segmental Innervation of Muscles
Shoulder	Abduction	C5	Axillary Nerve
Shoulder	Adduction	C6-C8	Thoracodorsal Nerve
Elbow	Flexion	C5	Musculocutaneous Nerve
Elbow	Extension	C7	Radial Nerve
Wrist	Extension	C6	Radial Nerve
Fingers	Flexion	C8	Median Nerve
Fingers	Abduction	T1	Ulnar Nerve
Hip	Flexion	L2	Nerve to Psoas
Hip	Extension	S1	Inferior Gluteal
Muscles Shoulder Abduction ... Nerve Shoulder Adduction ... Nerve Fingers Abduction ... Gluteal Nerve Hip Abduction
TYPE I & TYPE II ERRORS 

SENSITIVITY & SPECIFICITY = SNOUT & SPIN 
Sensitive Tests that
SPECIFICITY = SNOUT
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Shoulder: • Abduction ... (axillary) • Adduction ... C8 (radial) • Abduction ... T1 (ulnar) • Adduction
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
of hand (finger abduction ... & adduction) OK
ED-Bridge Buprenorphine Algorithm for management of acute opiate withdrawal in the ED

#Management #Opioid #Withdrawal #Emergency #Buprenorphine
Treatment #Algorithm #Addiction
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Use Treatment (SHOUT ... #UseDisorder #Addiction
Opioid Withdrawal Symptom Timeline
Stage l: Up to 8 hours 
Stage II: 8—24 hours 
Stage Ill: Up
#Progression #Addiction