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Nervous system

Clinical Skills and Approaches

Inverted Reflexes

Epomedicine Dec 8, 2022 No Comments Clinical examinationInternal medicineNervous systemOrthopedicsPediatrics

An inverted tendon reflex refers to the elicitation of the movement opposite to that normally seen when the reflex is elicited. Mechanism of Inverted Reflexes…

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Clinical Skills and Approaches

Hoffmann’s Sign

Epomedicine Dec 7, 2022 No Comments Clinical examinationInternal medicineNervous systemOrthopedicsPediatrics

History Method of Eliciting Hoffmann’s Reflex Mechanism of Positive Hoffmann’s Reflex Sudden stretch of the finger flexors causes involuntary finger flexor contraction due to activation…

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PGMEE, MBBS, MD/MS

Motor March Phenomenon

Epomedicine Oct 21, 2022 No Comments Nervous systemOrthopedics

Motor march phenomenon is a sign of reinnervation like Hoffman-Tinel’s sign which has been discussed earlier. Observed in: Axonotmesis Repaired Neurotmesis Not observed in: Neuropraxia…

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Clinical Skills and Approaches

Romberg test

Epomedicine Sep 7, 2022 No Comments Clinical examinationNervous system

Tests the function of: Posterior or Dorsal column which may be impaired in: Subacute combined degeneration (SCD) of spinal cord (Vitamin B12 deficiency) Posterior cord…

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Clinical Skills and Approaches

Deep tendon reflexes

Epomedicine Sep 3, 2022 No Comments Clinical examinationNervous system

Deep tendon reflexes are monosynaptic reflexes integrated at lamina IX of the spinal cord. Deep tendon reflexes may be interpreted as: Normal Diminished or absent…

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Clinical Skills and Approaches

Beevor’s sign

Epomedicine Sep 3, 2022 No Comments Clinical examinationNervous system

Named after: Charles Edward Beevor Definition: Upward (Cephalad) movement of the umbilicus in a supine patient attempting either to flex the head onto the chest…

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PGMEE, MBBS, MD/MS

Pregabalin vs Gabapentin

Epomedicine May 10, 2022 No Comments Nervous systemPharmacology

Both pregabalin and gabapentin are GABA analogues that bind to presynaptic neuron’s voltage-gated calcium channels (VGCC), specifically to the alpha-2-delta protein leading to reduced calcium…

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Emergency Medicine

Conus Medullaris Syndrome vs Cauda Equina Syndrome : Anatomical basis and Mnemonic

Epomedicine May 8, 2022 No Comments Emergency medicineNervous systemOrthopedics

Definitions Condition Vertebral level of injury Neurological level of injury ISNCI level of injury Conus Medullaris Syndrome (CMS) T12-L2 T12-S5 T11 Cauda Equina Syndrome (CES)…

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