41 results
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Elbow extension → shoulder ... finger extension → shoulder ... abduction → neck ... clinical #video #physicalexam ... #orthopedics #neurology
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Neuropathy Shoulder ... finger extension → shoulder ... elbow extension → neck ... clinical #video #physicalexam ... #orthopedics #neurology
A normal plantar reflex response involves toe flexion, or even no movement. A positive test, also
flexion, or even no movement ... A positive test, ... Reflex #Plantar #PhysicalExam ... #Diagnosis #Neurology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Cauda Equina Syndrome ... nerve at fibular neck ... stopping walking (vascular ... #neurology #sensory ... #motor #leg #physicalexam
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
and Differential Diagnosis ... Systemic N - Neurologic ... Patient Prefers to Rest ... - Post-Trauma, Neck ... Manipulation Vascular
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
month following neck ... consistent with a diagnosis ... lesions within the neck ... ophthalmology #physicalexam ... #neurology #Anisocoria
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... abnormal extraocular movements ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Hypothyroidism – symptoms and signs.

Symptoms: 
Tiredness/malaise, 
Weight gain,
Anorexia,
Cold intolerance, 
Poor memory,
Change in appearance, 
Depression, 
Poor libido,
, Poverty of movement ... Carpal timel syndrome ... Myotonia, Muscular ... Signs #Symptoms #Diagnosis ... #PhysicalExam #
Major neurocognitive disorders (MNCD): Diagnosis and workup 

1) Clinical diagnosis Cognitive impairment + loss of autonomy
2)
disorders (MNCD): Diagnosis ... ... laboratory tests ... Aphaso-apraxo-agnosia syndrome ... hallucinations - Movement ... Frontal atrophy Vascular