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TitleDescriptionSubjectCollection
1 The Accommodation ReflexThis three minute video describes and animates the events taking place in the eye during accommodation. Narration describes the events. Three dimensional animation shows convergence of the eyes. The view changes to a cut-away view of the eye interior to show pupillary constriction and changes in the...Near Triad; Pupillary Constriction; Ciliary MuscleHEAL Reviewed Collection
2 ThrombogenesisMegakarocyte morphogenesis and platelet formation.ThrombogenesisHEAL Reviewed Collection
3 Cranial Nerve Exam: Abnormal Examples: Cranial Nerves 9 & 10 - Sensory & Motor: Gag ReflexUsing a tongue blade, the left side of the patient's palate is touched which results in a gag reflex with the left side of the palate elevating more then the right and the uvula deviating to the left consistent with a right CN 9 & 10 deficit. Video courtesy of Alejandro Stern, Stern Foundation. Neur...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
4 Cranial Nerve Exam: Abnormal Examples: Smooth PursuitThe patient shown has progressive supranuclear palsy. As part of this disease there is disruption of fixation by square wave jerks and impairment of smooth pursuit movements. Saccadic eye movements are also impaired. Although not shown in this video, vertical saccadic eye movements are usually the i...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
5 Coordination Exam: Anatomy: Subdivisions of the Cerebellum (includes Spanish audio & captions)The cerebellum has 3 functional subdivisions, which function as feedback and feed forward systems. NeuroLogic Exam has been supported by a grant from the Slice of Life Development Fund at the University of Utah, the Department of Pediatrics and the Office of Education at the University of Nebraska M...Coordination ExaminationNeuroLogic Exam: An Anatomical Approach
6 Cranial Nerve Exam: Abnormal Examples: VergenceLight-near dissociation occurs when the pupils don't react to light but constrict with convergence as part of the near reflex. This is what happens in the Argyll-Robertson pupil (usually seen with neurosyphilis) where there is a pretectal lesion affecting the retinomesencephalic afferents controllin...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
7 Cranial Nerve Exam: Abnormal Examples: Cranial Nerves 9 & 10 - Sensory & Motor: Gag Reflex (x2)Using a tongue blade, the left side of the patient's palate is touched which results in a gag reflex with the left side of the palate elevating more then the right and the uvula deviating to the left consistent with a right CN 9 & 10 deficit. Video courtesy of Alejandro Stern, Stern Foundation. Neur...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
8 Cranial Nerve Exam: Abnormal Examples: Smooth Pursuit (x2)The patient shown has progressive supranuclear palsy. As part of this disease there is disruption of fixation by square wave jerks and impairment of smooth pursuit movements. Saccadic eye movements are also impaired. Although not shown in this video, vertical saccadic eye movements are usually the i...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
9 Cranial Nerve Exam: Abnormal Examples: Cranial Nerves 9 & 10 - Motor (x2)When the patient says ah there is excessive nasal air escape. The palate elevates more on the left side and the uvula deviates toward the left side because the right side is weak. This patient has a deficit of the right 9th & 10th cranial nerves. Video courtesy of Alejandro Stern, Stern Foundation. ...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
10 Cranial Nerve Exam: Abnormal Examples: Cranial Nerves 9 & 10 - MotorWhen the patient says ah there is excessive nasal air escape. The palate elevates more on the left side and the uvula deviates toward the left side because the right side is weak. This patient has a deficit of the right 9th & 10th cranial nerves. Video courtesy of Alejandro Stern, Stern Foundation. ...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
11 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 12 - Motor (x2)Notice the atrophy and fasciculation of the right side of this patient's tongue. The tongue deviates to the right as well because of weakness of the right intrinsic tongue muscles. These findings are present because of a lesion of the right 12th cranial nerve. NeuroLogic Exam has been supported by a...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
12 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 12 - MotorNotice the atrophy and fasciculation of the right side of this patient's tongue. The tongue deviates to the right as well because of weakness of the right intrinsic tongue muscles. These findings are present because of a lesion of the right 12th cranial nerve. NeuroLogic Exam has been supported by a...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
13 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 7 - Sensory, TasteThe patient has difficulty correctly identifying taste on the right side of the tongue indicating a lesion of the sensory limb of the 7th nerve. NeuroLogic Exam has been supported by a grant from the Slice of Life Development Fund at the University of Utah, the Department of Pediatrics and the Offic...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
14 Coordination Exam: Anatomy: Midline Ataxia (includes Spanish audio & captions)Clinically, the ataxic syndromes caused by vestibulocerebellar and spinocerebellar disease are lumped together and are called midline or equilibratory (gait) ataxias. The hallmarks of these midline ataxic syndromes are truncal instability manifested by titubation (tremor of the trunk in an anterior-...Coordination Examination; Anterior Lobe of Cerebellum; Flocculonodular LobeNeuroLogic Exam: An Anatomical Approach
15 Coordination Exam: Abnormal Examples: Speech - Rapid Alternating Movements - Dysarthria (x2) (includes Spanish audio & captions)Impaired speech articulation of cerebellar origin is characterized by being slow, indistinct, and scanning (scanning refers to decomposition of words into monosyllabic parts and loss of normal phrasing and intonation). NeuroLogic Exam has been supported by a grant from the Slice of Life Development ...Coordination ExaminationNeuroLogic Exam: An Anatomical Approach
16 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 11 - MotorWhen the patient contracts the muscles of the neck the left sternocleidomastoid muscle is easily seen but the right is absent. Looking at the back of the patient, the left trapezius muscle is outlined and present but the right is atrophic and hard to identify. These findings indicate a lesion of the...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
17 Coordination Exam: Abnormal Examples: Station (x2) (includes Spanish audio & captions)Patient's feet will be placed wider apart then usual in order to maintain balance (broad or wide-based station). Midline ataxias cause instability of station with eyes opened or closed. NeuroLogic Exam has been supported by a grant from the Slice of Life Development Fund at the University of Utah, t...Coordination Examination; StationNeuroLogic Exam: An Anatomical Approach
18 Coordination Exam: Abnormal Examples: Hand - Rapid Alternating Movements (x2) (includes Spanish audio & captions)Movements are slow and irregular with imprecise timing. Inability to perform repetitive movements in a rapid rhythmic fashion is called dysdiadochokinesia. NeuroLogic Exam has been supported by a grant from the Slice of Life Development Fund at the University of Utah, the Department of Pediatrics an...Coordination Examination; DysdiadochokinesiaNeuroLogic Exam: An Anatomical Approach
19 Gait Exam: Abnormal Examples: Hemiplegic Gait DemonstrationThe patient has unilateral weakness and spasticity with the upper extremity held in flexion and the lower extremity in extension. The foot is in extension so the leg is too long therefore, the patient will have to circumduct or swing the leg around to step forward. This type of gait is seen with a U...Gait Examination; Hemiplegic GaitNeuroLogic Exam: An Anatomical Approach
20 Coordination Exam: Abnormal Examples: Natural Gait (x2) (includes Spanish audio & captions)Wide-based, unsteady, irregular steps with lateral veering| ataxia is most prominent when sudden changes are needed such as turning, standing up or stopping. NeuroLogic Exam has been supported by a grant from the Slice of Life Development Fund at the University of Utah, the Department of Pediatrics ...Coordination Examination; Natural GaitNeuroLogic Exam: An Anatomical Approach
21 Cranial Nerve Exam: Anatomy: Cranial Nerve 1 (x2)Olfaction is the only sensory modality with direct access to cerebral cortex without going through the thalamus. The olfactory tracts project mainly to the uncus of the temporal lobes. NeuroLogic Exam has been supported by a grant from the Slice of Life Development Fund at the University of Utah, th...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
22 Coordination Exam: Anatomy: Introduction (x2) (includes Spanish audio & captions)The principle area of the brain that is examined by the coordination exam is the cerebellum. The cerebellum is important for motor learning and timing of motor activity. It fine-tunes the force of agonist and antagonist muscle activity simultaneously and sequentially across multiple joints to produc...Coordination ExaminationNeuroLogic Exam: An Anatomical Approach
23 Cranial Nerve Exam: Abnormal Examples: Cranial Nerves 2 & 3 - Pupillary Light Reflex (x2)The swinging flashlight test is used to show a relative afferent pupillary defect or a Marcus Gunn pupil of the left eye. The left eye has perceived less light stimulus (a defect in the sensory or afferent pathway) then the opposite eye so the pupil dilates with the same light stimulus that caused c...Cranial Nerve Examination; Marcus Gunn PupilNeuroLogic Exam: An Anatomical Approach
24 Coordination Exam: Abnormal Examples: Finger-to-nose (includes Spanish audio & captions)Under (hypometria) and over (hypermetria) shooting of a target (dysmetria) and the decomposition of movement (the breakdown of the movement into its parts with impaired timing and integration of muscle activity) are seen with appendicular ataxia. NeuroLogic Exam has been supported by a grant from th...Coordination Examination; Finger-to-nose TestNeuroLogic Exam: An Anatomical Approach
25 Coordination Exam: Abnormal Examples: Station (includes Spanish audio & captions)Patient's feet will be placed wider apart then usual in order to maintain balance (broad or wide-based station). Midline ataxias cause instability of station with eyes opened or closed. NeuroLogic Exam has been supported by a grant from the Slice of Life Development Fund at the University of Utah, t...Coordination Examination; StationNeuroLogic Exam: An Anatomical Approach
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