14 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
females Differential Diagnosis ... dissociation • Other causes ... • Physiologic Anisocoria ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Positive Hoffmann's sign (finger flexor reflex)

Flexion and adduction of the thumb and flexion of the index
indicating cervical injury ... clinical #hand #video ... #physicalexam # ... #orthopedics #neurology ... #sports
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
In this case, the ... than 3mm in this case ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
Myoedema in Hypothyroidism on Physical Exam

Hypothyroidism is a clinical syndrome resulting from the production, secretion or
drowsiness, weight gain ... hammer, caused ... Hypothyroidism #PhysicalExam ... #clinical #video ... #neurology #endocrinology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... #ophthalmology ... #physicalexam #neurology ... #Anisocoria
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Pupils: • Anisocoria ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
the pupillary reflex ... very sensitive diagnostic ... regarding the cause ... afferent pathway injury ... #Clinical #Video
Seesaw Nystagmus 

Sawtooth or seesaw nystagmus is an unusual but characteristic type of nystagmus. Typically there
concept suggests an injury ... vestibulo-ocular reflex ... We have varied causes ... nystagmus #sawtooth #physicalexam ... #ophthalmology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
, T1 (median) Reflexes ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
- Differential Diagnosis ... • Gait is abnormal ... Non-compressive Spinal Cord Causes ... dysfunction • Abnormal reflexes ... #neurology #differential