9 results
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Locked-in syndrome ... threat Cranial Nerves ... • Examine for signs ... caseyalbin #PhysicalExam ... #neurology #comatose
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
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Cauda Equina Syndrome ... damage to peroneal nerve ... at fibular neck ... stopping walking (vascular ... Myotomes #diagnosis #neurology
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
The evaluation should ... include a: • Neurologic ... audiometry • Patients should ... • Head and neck ... II ○ Susac’s syndrome
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Neck: “dropping ... /Edrophonium test ... - Cogan sign ... - Peek sign 2. ... diagnosis #management #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Vascular disorders ... insufficiency (VBI) - Should ... Can occur with neck ... Syndrome usually ... signs or symptoms
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
is also a late sign ... Down syndrome is ... assessment, is best ... are observed for signs ... Newborn #Infant #PhysicalExam
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
purpura: Strong sign ... pulse deficits vascular ... proximal muscles of shoulder ... affects the skin, neurologic ... muscle weakness • Nerves