14 results
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
relaxation of the ankle ... evaluation confirmed a diagnosis ... #PhysicalExam # ... Hypothyroidism #Ankle ... Video #Neurology #Endocrinology
Hypothyroidism – symptoms and signs.

Symptoms: 
Tiredness/malaise, 
Weight gain,
Anorexia,
Cold intolerance, 
Poor memory,
Change in appearance, 
Depression, 
Poor libido,
Carpal timel syndrome ... Slow-relaxing reflexes ... #Symptoms #Diagnosis ... #PhysicalExam # ... Endocrinology
Hypothyroidism and Hyperthyroidism - Symptoms and Signs
Hypothyroidism:
 - General - From asymptomatic to myxedema coma, “Like
Hyperthyroidism - Symptoms ... and Signs Hypothyroidism ... Fatigue - Face/Neck ... #Signs #Diagnosis ... #endocrinology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
and Myotomes Reflexes ... L2, L3, L4 • Ankle ... • Cauda Equina Syndrome ... nerve at fibular neck ... Dermatomes #Myotomes #diagnosis
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
to Headaches - Differential ... Diagnosis Algorithm ... papilledema • Horner syndrome ... ) • Systemic symptoms ... and signs (e.g.
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: • ... • Locked-in syndrome ... • Examine for signs ... caseyalbin #PhysicalExam
Signs and Symptoms Associated With Different Headache Etiologies
 • Nonfocal mental status changes - Meningitis, encephalitis,
Signs and Symptoms ... #headache #signs ... #symptoms #clues ... #differential # ... diagnosis
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
Diagnosis Framework ... the following symptoms ... • Head and neck ... TMJ • Head, neck ... #diagnosis
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Can occur with neck ... Syndrome usually ... varying neurologic signs ... Vertigo #Causes #differential ... #diagnosis #neurology
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
work) - acute angle ... pain involving neck ... thrombophilia, neurologic signs ... postpartum #Diagnosis ... Dangerous #Deadly #Differential