PCM Abnormal Neurologic Findings

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Abnormal Neurologic Findings : 

Abnormal Neurologic Findings

Format : 

Format A video clip will play The group should discuss the abnormality and try to identify it The following slide gives the answer Focus more on describing the abnormality than “making a diagnosis” Let’s begin

Ataxic, cerebellar gait : 

Ataxic, cerebellar gait

What is this? : 

What is this?

Essential tremor : 

Essential tremor An intention tremor When at rest or with arm hanging down, not supporting its own weight, tremor improves

Positive Romberg test : 

Positive Romberg test Patient falls back when eyes are closed and she tries to stand still Normally posture is maintained A cerebellar finding

Congenital Vertical Nystagmus : 

Congenital Vertical Nystagmus

Watch up to 0:45 : 

Watch up to 0:45

Abnormal CN VIII : 

Abnormal CN VIII

Positive Babinski : 

Positive Babinski

Clonus : 

Clonus

Chorea : 

Chorea

Dysdiadochokinesis : 

Dysdiadochokinesis

Unilateral neglect : 

Unilateral neglect In another test for neglect, the patient is asked to draw a vertical line that divides each horizontal line in half:

Central or peripheral? What nerve? : 

Central or peripheral? What nerve?

Describe what is abnormal in the next clip : 

Describe what is abnormal in the next clip The first part of the clip shows the man at his baseline. The second half shows him 30 minutes after he has taken his medication.

What do you think is wrong with this man? : 

What do you think is wrong with this man? What medication would this have been?

Parkinson’s Disease : 

Parkinson’s Disease Shuffling and festinating gait Minimal arm swinging Difficulty turning around Medication: L-dopa

The End! : 

The End!