Dr. Gerald Diaz @GeraldMD
30.7M 13.9K 7.3K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 β€’ Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... Causes of Hyporeflexia ... Deep coma (any cause ... #differential #diagnosis ... #table #neurology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 β€’ Abduction - C5,C6 (axillary)
 β€’ Adduction - C6, C7,
, T1 (median) Reflexes ... Erb's Palsy is caused ... Dislocation - May cause ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
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 ... Pupillary #Defect #Neurology
β–Ί
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 β€’ Knee - L2, L3, L4
 β€’ Ankle - S1
and Myotomes Reflexes ... Commonly caused ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
Hematuria Workup and Diagnosis Algorithm
 β€’ Confirm hematuria β†’ Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... β†’ Refer to Nephrology ... cystoscopy β€’ Refer ... cause not identified ... uw_IMresidency #Hematuria #Diagnosis
Jaw-Jerk Reflex Clonus in ALS

- Neurology Pro - A DDx Tool @ProDdx

#JawJerk #Jaw #Jerk #Reflex #Clonus
Jaw-Jerk Reflex ... Clonus in ALS - Neurology ... JawJerk #Jaw #Jerk #Reflex ... clinical #video #neurology
β–Ί
Orbicularis Reflex in an Alzheimer's Patient on Physical Exam

Alzheimer's is a degenerative, progressive and irreversible disease.
Orbicularis Reflex ... time, and can cause ... delusions and, in some cases ... the orbicular reflex ... clinical #video #neurology
β–Ί
Cushing's Reflex - Pathophysiology
HYPERTENSION with a reflex BRADYCARDIA
 β†’ ↑ ICP 
 β†’ ↓ CBF
 β†’
Cushing's Reflex ... HYPERTENSION with a reflex ... HR #Cushings #Reflex ... Pathophysiology #neurology
Motor and Reflex Grading (0-5)

Motor Strength Grading

5	Normal

4	Reduced, moves against resistance

3	Moves against gravity

2	Moves only with elimination of
Motor and Reflex ... only 0 None Reflex ... None #Motor #Reflex ... Scoring #Grades #Diagnosis ... #Neurology
Plantar Reflex (Babinski) Equivalents
Plantar toe reflex - Babinski - Move an object along the lateral aspect
Plantar Reflex ( ... Shin-toe reflex ... Calf-toe reflex ... and release #Diagnosis ... #Neurology #PhysicalExam