Dr. Gerald Diaz @GeraldMD
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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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13 results
The Neurological Evaluation of a Comatose Patient

Definition:
 β€’ Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Casey Albin MD @ ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
Lazarus Sign / Reflex in Brain Death - Head Flexion

The presence of this complex spinal reflex
Lazarus Sign / Reflex ... the brain death diagnosis ... movement in brain-dead ... BrainDeath #BrainDead #Neurology ... video #clinical #PhysicalExam
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Lazarus Sign / Reflex in Brain Death - Head Turn

The presence of this complex spinal reflex
Lazarus Sign / Reflex ... the brain death diagnosis ... movement in brain-dead ... BrainDeath #BrainDead #Neurology ... video #clinical #PhysicalExam
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A normal plantar reflex response involves toe flexion, or even no movement. A positive test, also
normal plantar reflex ... flexion, or even no movement ... Babinski #Sign #Reflex ... #Plantar #PhysicalExam ... #Diagnosis #Neurology
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
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
females Differential Diagnosis ... abnormal extraocular movements ... dissociation β€’ Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Dizziness and Vertigo Algorithm
Presyncope:
 β€’ Feels "faint" or like they are going to "pass out"
 β€’
Symptoms worse with movement ... Associated with nausea ... #differential #diagnosis ... #neurology #management
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 ... Pupils #MacrusGunn #PhysicalExam
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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 ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Lazarus Reflex on Physical Exam

The Lazarus sign is a reflex movement observed in brain-dead or brainstem
movement observed ... after brain death diagnosis ... reported in some cases ... #PhysicalExam # ... clinical #video #neurology
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