349 results
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Locked-in syndrome ... If ok with ICU team ... caseyalbin #PhysicalExam ... #neurology #comatose
Locked-In Syndrome on Physical Exam

56 year-old male with acute onset altered sensorium. Suffered a cardiac arrest
Locked-In Syndrome ... Physical Exam 56 year-old ... Look at the eye movement ... #PhysicalExam # ... clinical #video #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... abnormal extraocular movements ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... One-and-a-half Syndrome ... #Extraocular #Movement ... ophthalmology #neurology ... #differential #
Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam

Dancing eyes and dancing feet in an adult [Aka-
Myoclonus Ataxia Syndrome ... myoclonus ataxia syndrome ... multidirectional fast eye movements ... #PhysicalExam # ... clinical #video #neurology
Causes of Dizziness - Vertigo and Lightheadedness - Differential Diagnosis Algorithm
 • True Vertigo - Illusion
Lightheadedness - Differential ... Illusion of Rotary Movement ... Vertigo #Dizzy #Neurology ... #Differential #
BEE Syndromes - Immune-mediated conditions affecting the brain, eye, and ear

Visual or auditory symptoms in conjunction
BEE Syndromes - ... brain, eye, and ear ... • Sjögren syndrome ... #neurology #inflammatory ... #differential #
Serotonin Syndrome - THINK: FAST
 - FAST onset
 - FAST movements (agitation, akathisia, HYPERreflexia)
 - FAST
Serotonin Syndrome ... onset - FAST movements ... Neuroleptic Malignant Syndrome ... onset - SLOW movements ... Toxicology #Comparison #Differentiate
Causes of Excessive Daytime Sleepiness - Differential Diagnosis Algorithm
Insufficient Sleep
 • Poor Sleep Hygiene
 • Insomnia
Daytime Sleepiness - Differential ... Restless Legs Syndrome ... Periodic Limb Movement ... Hypoventilation Syndrome ... Disorders • Neurologic
When trying to differentiate between the two conditions think “FAST” with Serotonin Syndrome and “SLOW” with
When trying to differentiate ... with Serotonin Syndrome ... Serotonin Syndrome ... onset - FAST movements ... onset - SLOW movements