25 results
Characteristic clinical manifestations of Down syndrome 
 
Typical craniofacial appearance 
 • Round face and flat
• Brushfield spots ... iris (pigmented spots ... neck • Single ... #Downs #Syndrome ... #PhysicalExam #
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... consistent with a diagnosis ... decompress the spinal ... clinical #video #ophthalmology ... #physicalexam #
Krukenberg's Spindle on Slit Lamp Ocular Examination

Krukenberg's Spindle = spindle-shaped deposit of pigment on the posterior
Krukenberg's Spindle ... pigment dispersion syndrome ... pigment dispersion syndrome ... #Ocular #PhysicalExam ... clinical #video #ophthalmology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Cauda Equina Syndrome ... compression • Spinal ... - Narrowing of spinal ... Dermatomes #Myotomes #diagnosis ... sensory #motor #leg #physicalexam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Mechanisms of Pain
Mixed - Nociceptive/Neuropathic
Nociceptive - Tissue Damage
 - Visceral - (From organ/cavity lining) Poorly localized,
Well-localized, sharp, short ... regional pain syndrome ... Post-stroke • Spinal ... #Differential #Diagnosis
Krukenberg's Spindle - Slit Lamp Ocular Examination

Krukenberg's Spindle is a pigment deposit that can be found
Krukenberg's Spindle ... Krukenberg's Spindle ... pigment dispersion syndrome ... Cornea #Ocular #PhysicalExam ... clinical #video #ophthalmology
Krukenberg's Spindle - Slit Lamp Ocular Examination

Krukenberg's Spindle is a pigment deposit that can be found
Krukenberg's Spindle ... Krukenberg's Spindle ... pigment dispersion syndrome ... Cornea #Ocular #PhysicalExam ... clinical #video #ophthalmology
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... Patellofemoral pain syndrome ... deficiency etc) • Spinal ... #differential #diagnosis ... extremity #msk #physicalexam
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... • Weakness: Starts ... Guillain-Barre Diagnosis ... of intrathecal spinal ... #diagnosis #management