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The Neurological Evaluation of a Comatose Patient

Definition:
• Coma: a state of unresponsiveness; the absence of

Test if patient ... • Vestibulo-ocular ... , tremors) Reflexes ... caseyalbin #PhysicalExam ... #neurology #comatose

Bell's Phenomenon (Palpebral-Oculogyric Reflex) on Physical Exam

Upward movement of the eyeball when the eyelids are forcefully

Palpebral-Oculogyric Reflex ... Exam Upward movement ... #PhysicalExam # ... clinical #video ... #neurology #palsy

A normal plantar reflex response involves toe flexion, or even no movement. A positive test, also

normal plantar reflex ... flexion, or even no movement ... A positive test, ... #Plantar #PhysicalExam ... #Diagnosis #Neurology

Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
A. Visual Acuity

Light Reflex, Accommodation ... Ocular Movements ... Cornea D. ... Blood Vessels #Ocular ... Ophthalmology #PhysicalExam

Characteristic eye movements found in congenital nystagmus

Video by Kathleen B. Digre, M.D. - Moran Eye Center

#Congenital

Characteristic eye movements ... Ophthalmology #Neurology ... #Clinical #Video ... #Ocular #PhysicalExam

Lazarus Sign / Reflex in Brain Death - Head Flexion

The presence of this complex spinal reflex

Lazarus Sign / Reflex ... movement in brain-dead ... BrainDeath #BrainDead #Neurology ... #video #clinical ... #PhysicalExam

Parkinson's Disease Tremor
The tremor of Parkinson's disease is characteristic. It is called resting tremor, that is,

still, either at rest ... performs some movement ... #Hands #Neurology ... #PhysicalExam # ... clinical #video

Milkmaid’s Grip of Chorea on Physical Exam
Milk maids grip is appreciated as an alternating squeezing and

Milkmaid’s Grip of Chorea ... This may reflect ... #sign #PhysicalExam ... #clinical #video ... #neurology

Bilateral Chorea–Ballism on Neurological Examination - Movement Disorders

#Bilateral #chorea #Ballism #ballismus #clinical #video #neurology #movement #physicalexam

Bilateral Chorea–Ballism ... Examination - Movement ... Ballism #ballismus #clinical ... #video #neurology ... #movement #physicalexam

Lazarus Sign / Reflex in Brain Death - Head Turn

The presence of this complex spinal reflex

Lazarus Sign / Reflex ... movement in brain-dead ... BrainDeath #BrainDead #Neurology ... #video #clinical ... #PhysicalExam

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