Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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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
Lazarus Sign / Reflex in Brain Death - Head Flexion

The presence of this complex spinal reflex
Lazarus Sign / Reflex ... complex spinal reflex ... the brain death diagnosis ... The Lazarus reflex ... BrainDeath #BrainDead #Neurology
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The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Vestibulo-ocular ... reflex • Gag ... #PhysicalExam #neurology ... #comatose #diagnosis
Lazarus Sign / Reflex in Brain Death - Head Turn

The presence of this complex spinal reflex
Lazarus Sign / Reflex ... complex spinal reflex ... the brain death diagnosis ... The Lazarus reflex ... BrainDeath #BrainDead #Neurology
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Physical exam findings of various ocular palsies; image courtesy of the BMJ

R 3rd nerve palsy
R 4th
findings of various ocular ... nerve palsy #Ocular ... CNIII #CNIV #CNVI #Neurology ... #Diagnosis #Chart
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
the ankle jerk reflex ... evaluation confirmed a diagnosis ... a deep-tendon reflex ... , is a neurologic ... Clinical #Video #Neurology
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Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... → Refer to Nephrology ... cystoscopy • Refer ... to Nephrology if ... uw_IMresidency #Hematuria #Diagnosis
A normal plantar reflex response involves toe flexion, or even no movement. A positive test, also
normal plantar reflex ... Babinski #Sign #Reflex ... PhysicalExam #Diagnosis ... #Neurology
Woltman’s sign on Physical Exam - Hi-Res .mp4 version here: https://www.grepmed.com/images/13248

53-year-old man presented with fatigue and
the ankle jerk reflex ... evaluation confirmed a diagnosis ... a deep-tendon reflex ... , is a neurologic
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