1401 - 1600 of 4,589
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TitleDescriptionSubjectCollection
1401 Ultrasound of fibroid uterus with overlying placentaUltrasound of fibroid uterus with overlying placentaKnowledge Weavers Human Reproduction
1402 Abruptio placenta - GrossThis large retroplacental blood clot is known as abruptio placenta. Such abnormal hemorrhage prior to delivery can lead to sudden onset of pain in the mother.Knowledge Weavers Human Reproduction
1403 Partial placenta previaThe placenta partially covers the internal os.Knowledge Weavers Human Reproduction
1404 Ultrasound showing the two horns of a bicornuate uterusUltrasound showing the two horns of a bicornuate uterusKnowledge Weavers Human Reproduction
1405 Serous adenofibromaDense, fibrous connective tissue with interspersed glandular spaces.Knowledge Weavers Human Reproduction
1406 Mature cystic teratomaTeratomas, often called dermoid tumors, represent 25% of all benign neoplasms. The most common elements are components of stratified squamous epithelium, hence their name: dermoid tumor.Knowledge Weavers Human Reproduction
1407 Fibroid uterusSmooth muscle tumors of the uterus. Smooth muscle tumors of the uterus are often multiple. Seen here are submucosal, intramural, and subserosal leiomyomata of the uterus.Knowledge Weavers Human Reproduction
1408 Ovarian torsion of tubo-ovarian complexTorsion of tubo-ovarian complex. In ovarian torsion the ovarian structures always torse medially.Knowledge Weavers Human Reproduction
1409 Kallman's syndromeIn Kallman's Syndrome of the x linked variety a cell adhesion protein which participates in the migration of GnRH neurons from the medial olfactory bulb to the hypothalamus is absent. This protein is encoded by a gene on the short arm of the X chromosome.Knowledge Weavers Human Reproduction
1410 Low lying posterior placentaLow lying posterior placentaKnowledge Weavers Human Reproduction
1411 Indications for intrauterine inseminationIndications for intrauterine inseminationKnowledge Weavers Human Reproduction
1412 Epithelium of a follicular cystLow cuboidal cells are found in the lining of follicular cysts.Knowledge Weavers Human Reproduction
1413 EdemaPIH is characterized by hypertension, edema and proteinuria.Knowledge Weavers Human Reproduction
1414 Corpus luteum cystThe corpus luteum secretes progesterone which induces a secretory endometrium. It normally regresses in 14 days unless it is rescued by increasing concentrations of human chorionic gonadotropin from a pregnancy.Knowledge Weavers Human Reproduction
1415 Tooth in the abdomenRadiograph of ovarian teratoma with teeth. Teeth are occassionally part of the squamous components of an ovarian teratoma.Knowledge Weavers Human Reproduction
1416 Abruptio Placenta - MicroscopicMicroscopically, this abruptio placenta is seen to have extensive hemorrhage at thetop of the photograph at the decidual plate, with placental villi below.Knowledge Weavers Human Reproduction
1417 Polycystic ovaryPolycystic ovary-pearl necklace sign. Underlying the bladder is the ovary with a classical polycystic appearance often referred to as a pearl necklace.Knowledge Weavers Human Reproduction
1418 Turner's syndromeAdapted with permission from Jaffe R.B.Disorders of Sexual Development. In Yen S.S.C. and Jaffe R.B. eds Reproductive Endocrinology, W. B. Saunders Co., Philadelphia, 1986, p 287. Females with a 45,XO karyotype characteristically have short stature, primary amenorrhea, streak gonads, and sexual infa...Knowledge Weavers Human Reproduction
1419 Follicular cystBenign ovarian cyst. Here is a benign cyst in an ovary. This is probably a follicular cyst. Occasionally such cysts may reach several centimeters in size and, if they rupture, can cause abdominal pain.Knowledge Weavers Human Reproduction
1420 Theca lutein cystTheca lutein cysts are dominated by theca interna cells. Grossly the cut surface of the ovary is often partly yellow and partly hemorrhagic. Hyperplasia of the theca interna cells is the predominant characteristic. It is believed that these cysts are the result of excessive stimulation of the theca ...Theca Lutein CystKnowledge Weavers Human Reproduction
1421 Serous cystadenomaA low cuboidal epithelium is present in the serous cystadenoma.Knowledge Weavers Human Reproduction
1422 Cystic ovarian massOvarian cyst demonstrated by ultrasound. The ovarian cyst fills the abdominal cavity in this sagittal view and is seen overlying the uterus. The bladder is represented by Bl.Knowledge Weavers Human Reproduction
1423 FibromaThis is the cut surface of a fibroma. Such neoplasms slowly enlarge over the years.Knowledge Weavers Human Reproduction
1424 Velamentous Insertion of the Umbilical CordSeen here is a velamentous insertion of the umbilical cord in which the major umbilical vessels break up in the fetal membranes before reaching the placental disk. Such a condition is of no major consequence in utero, but could lead to a greater chance for cord trauma with bleeding during delivery. ...Knowledge Weavers Human Reproduction
1425 EndometriomaEndometriosis. This is a section through an ovary to demonstrate several irregular hemorrhagic areas of endometriosis. Sometimes the blood is darker and gives the foci of endometriosis the gross appearance ofpowder burns. Typical locations for endometriosis include: ovaries, uterine ligaments, rect...Knowledge Weavers Human Reproduction
1426 SomatotropinomaSomatotropinomaKnowledge Weavers Pathology
1427 Recent hemorrhagic infarctionRecent hemorrhagic infarctionKnowledge Weavers Pathology
1428 Adenocarcinoma, colonAdenocarcinoma, colonKnowledge Weavers Pathology
1429 Adenocarcinoma, prostateAdenocarcinoma, prostateKnowledge Weavers Pathology
1430 Anterior pituitaryAnterior pituitaryKnowledge Weavers Pathology
1431 Recent hemorrhagic infarction 2Recent hemorrhagic infarction 2Knowledge Weavers Pathology
1432 Infiltrating ductal carcinomaInfiltrating ductal carcinomaKnowledge Weavers Pathology
1433 Adrenal gland neoplasmAdrenal gland neoplasmKnowledge Weavers Pathology
1434 Medullary carcinomaMedullary carcinomaKnowledge Weavers Pathology
1435 Normal parathyroidNormal parathyroidKnowledge Weavers Pathology
1436 Psammoma bodyPsammoma bodyKnowledge Weavers Pathology
1437 Lung carcinomaLung carcinomaKnowledge Weavers Pathology
1438 Carcinoma, colonCarcinoma, colonKnowledge Weavers Pathology
1439 Adrenal cortical adenomaAdrenal cortical adenomaAndenoma, Adrenal CorticalKnowledge Weavers Pathology
1440 Hyaline arteriolosclerosisHyaline arteriolosclerosisKnowledge Weavers Pathology
1441 Idiopathic pulomonary fibrosisIdiopathic pulmonary fibrosisPulmonary FibrosisKnowledge Weavers Pathology
1442 Parathyroid, adenomaParathyroid, adenomaKnowledge Weavers Pathology
1443 EndocarditisEndocarditisKnowledge Weavers Pathology
1444 Giant cell carcinomaGiant cell carcinomaKnowledge Weavers Pathology
1445 Metastatic prostatic carcinomaMetastatic prostatic carcinomaKnowledge Weavers Pathology
1446 Renal osteodystrophyRenal osteodystrophyKnowledge Weavers Pathology
1447 Testis seminomaTestis seminomaKnowledge Weavers Pathology
1448 Adenocarcinoma, colonAdenocarcinoma, colonKnowledge Weavers Pathology
1449 Medullary carcinomaMedullary carcinomaKnowledge Weavers Pathology
1450 Islet cell carcinomaIslet cell carcinomaKnowledge Weavers Pathology
1451 Bronchogenic carcinomaBronchogenic carcinomaKnowledge Weavers Pathology
1452 Hard palate carcinomaHard palate carcinomaKnowledge Weavers Pathology
1453 Diabetes mellitusDiabetes mellitusKnowledge Weavers Pathology
1454 Metastatic colon adenocarcinomaMetastatic colon adenocarcinomaKnowledge Weavers Pathology
1455 ProlactinomaProlactinomaKnowledge Weavers Pathology
1456 Acute pyelonephritisAcute pyelonephritisKnowledge Weavers Pathology
1457 Kidney, acute infarctionKidney, acute infarctionKnowledge Weavers Pathology
1458 Metastatic lung carcinomaMetastatic lung carcinomaKnowledge Weavers Pathology
1459 Renal cell carcinomaRenal cell carcinomaKnowledge Weavers Pathology
1460 Pancreatic adenocarcinomaPancreatic adenocarcinomaKnowledge Weavers Pathology
1461 Pituitary microadenomaPituitary microadenomaKnowledge Weavers Pathology
1462 Chronic thyroiditisChronic thyroiditisKnowledge Weavers Pathology
1463 Pituitary adenomaPituitary adenomaKnowledge Weavers Pathology
1464 Nodular glomerulosclerosisNodular glomerulosclerosisKnowledge Weavers Pathology
1465 Anaplastic carcinomaAnaplastic carcinomaKnowledge Weavers Pathology
1466 OsteosarcomaOsteosarcomaKnowledge Weavers Pathology
1467 Normal brainNormal brainKnowledge Weavers Pathology
1468 Scirrhous carcinoma, breastScirrhous carcinoma, breastKnowledge Weavers Pathology
1469 SeminomaSeminomaKnowledge Weavers Pathology
1470 Paget's disease, breastPaget's disease, breastKnowledge Weavers Pathology
1471 ChoriocarcinomaChoriocarcinomaKnowledge Weavers Pathology
1472 Hyaline membrane diseaseHyaline membrane diseaseKnowledge Weavers Pathology
1473 Squamous cell carcinomaSquamous cell carcinomaKnowledge Weavers Pathology
1474 Anterior pituitaryAnterior pituitaryKnowledge Weavers Pathology
1475 Metastatic adenocarcinomaMetastatic adenocarcinomaKnowledge Weavers Pathology
1476 Normal adrenal cortexNormal adrenal cortexKnowledge Weavers Pathology
1477 Carcinoma, colonCarcinoma, colonKnowledge Weavers Pathology
1478 Aortic stenosisAortic stenosisKnowledge Weavers Pathology
1479 Basal cell carcinomaBasal cell carcinomaKnowledge Weavers Pathology
1480 OsteosarcomaOsteosarcomaKnowledge Weavers Pathology
1481 Split Lung MetastasesSplit Lung MetastasesKnowledge Weavers Pathology
1482 Cushing's syndrome hyperplasiaCushing's syndrome hyperplasiaKnowledge Weavers Pathology
1483 Medullary carcinomaMedullary carcinomaKnowledge Weavers Pathology
1484 Philadelphia chromosomePhiladelphia chromosomeKnowledge Weavers Pathology
1485 ThymomaThymomaKnowledge Weavers Pathology
1486 Fibroid uterusFibroid uterusKnowledge Weavers Pathology
1487 Grave's diseaseGrave's diseaseKnowledge Weavers Pathology
1488 Adrenal adenomaAdrenal adenomaKnowledge Weavers Pathology
1489 Temporal lobe infarctionTemporal lobe infarctionKnowledge Weavers Pathology
1490 Ovarian dermoid cystOvarian dermoid cystKnowledge Weavers Pathology
1491 Carcinoma, bowelCarcinoma, bowelKnowledge Weavers Pathology
1492 HyperplasiaHyperplasiaKnowledge Weavers Pathology
1493 Fibrinous pericarditisFibrinous pericarditisKnowledge Weavers Pathology
1494 Metastatic carcinomaMetastatic carcinomaKnowledge Weavers Pathology
1495 Metastatic adenocarcinomaMetastatic adenocarcinomaKnowledge Weavers Pathology
1496 Coordination Exam: Normal Exam: Normal Gait (includes Spanish audio & captions)The patient should be observed walking as she normally would. 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 Medical Center. Viewing the video requ...Coordination ExaminationNeuroLogic Exam: An Anatomical Approach
1497 Coordination Exam: Anatomy: Vestibulocerebellum (x2) (includes Spanish audio & captions)The first subdivision of the cerebellum is the vestibulocerebellum. This consists of the connections between the vestibular system and the flocculonodular lobe. Dysfunction of this system results in nystagmus, truncal instability (titubation), and truncal ataxia. NeuroLogic Exam has been supported b...Coordination Examination; Flocculonodular Lobe; VestibulocerebellumNeuroLogic Exam: An Anatomical Approach
1498 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 1 - Olfaction (x2)This patient has difficulty identifying the smells presented. Loss of smell is anosmia. The most common cause is a cold (as in this patient) or nasal allergies. Other causes include trauma or a meningioma effecting the olfactory tracts. Anosmia is also seen in Kallman syndrome because of agenesis of...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
1499 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 8 - Auditory Acuity, Weber & Rinne TestsThis patient has decreased hearing acuity of the right ear. The Weber test lateralizes to the right ear and bone conduction is greater than air conduction on the right. He has a conductive hearing loss. NeuroLogic Exam has been supported by a grant from the Slice of Life Development Fund at the Univ...Cranial Nerve Examination; Weber Test; Rinne TestNeuroLogic Exam: An Anatomical Approach
1500 Cranial Nerve Exam: Abnormal Examples: Cranial Nerves 3, 4 & 6 - Inspection & Ocular AlignmentThis patient with ocular myasthenia gravis has bilateral ptosis, left greater then right. There is also ocular misalignment because of weakness of the eye muscles especially of the left eye. Note the reflection of the light source doesn't fall on the same location of each eyeball. NeuroLogic Exam ha...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
1501 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 2 - Visual Fields (x2)The patient's visual fields are being tested with gross confrontation. A right sided visual field deficit for both eyes is shown. This is a right hemianopia from a lesion behind the optic chiasm involving the left optic tract, radiation or striate cortex. NeuroLogic Exam has been supported by a gran...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
1502 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 5 - Motor (x2)The first patient shown has weakness of the pterygoids and the jaw deviates towards the side of the weakness. The second patient shown has a positive jaw jerk which indicates an upper motor lesion affecting the 5th cranial nerve. Video courtesy of Alejandro Stern, Stern Foundation. NeuroLogic Exam h...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
1503 Coordination Exam: Normal Exam: Speech - Rapid Alternating Movements (includes Spanish audio & captions)Having the patient say lah-pah-kah can test rapid alternating movements of the tongue, lips, and palate. 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 Nebr...Coordination Examination; Rapid Alternating MovementsNeuroLogic Exam: An Anatomical Approach
1504 Cranial Nerve Exam: Anatomy: Cranial Nerve 1Olfaction 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
1505 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 7 - Sensory, Taste (x2)The 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
1506 Coordination Exam: Normal Exam: Station (x2) (includes Spanish audio & captions)Have the patient stand still. Note the position of the feet and how steady the patient is with eyes open. In the demonstrated exam, the patient is asked to hop and pat at the same time. This is a good way to test upper and lower extremity coordination and balance simultaneously. NeuroLogic Exam has ...Coordination Examination; StationNeuroLogic Exam: An Anatomical Approach
1507 Coordination Exam: Normal Exam: Station (includes Spanish audio & captions)Have the patient stand still. Note the position of the feet and how steady the patient is with eyes open. In the demonstrated exam, the patient is asked to hop and pat at the same time. This is a good way to test upper and lower extremity coordination and balance simultaneously. NeuroLogic Exam has ...Coordination Examination; StationNeuroLogic Exam: An Anatomical Approach
1508 Coordination Exam: Abnormal Examples: Foot - Rapid Alternating Movements (includes Spanish audio & captions)Movements are slow and irregular with imprecise timing of agonist and antagonist muscle action. 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 Medi...Coordination Examination; Rapid Alternating Movements; AdiadochokinesisNeuroLogic Exam: An Anatomical Approach
1509 Coordination Exam: Normal Exam: Foot - Rapid Alternating Movements (includes Spanish audio & captions)Patient taps her foot on the examiner's hand or on the floor. 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 Medical Center. Viewing the video requ...Coordination Examination; Rapid Alternating MovementsNeuroLogic Exam: An Anatomical Approach
1510 Coordination Exam: Normal Exam: Tremor (includes Spanish audio & captions)Patient's arms are held outstretched and fingers extended. Watch for postural or essential tremor. 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
1511 Coordination Exam: Normal Exam: Normal Gait (x2) (includes Spanish audio & captions)The patient should be observed walking as she normally would. 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 Medical Center. Viewing the video requ...Coordination ExaminationNeuroLogic Exam: An Anatomical Approach
1512 Gait Exam: Normal Exam: Natural GaitThe patient should be able to walk with a smooth, coordinated gait. There should be normal associated movement of the upper extremities. 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 Edu...Gait Examination; Natural GaitNeuroLogic Exam: An Anatomical Approach
1513 Gait Exam: Normal Exam: Tandem GaitHave the patient walk heel-to-toe. The patient should be able to balance without falling or stepping to the side. 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 Universit...Gait Examination; Heel-toe GaitNeuroLogic Exam: An Anatomical Approach
1514 Cranial Nerve Exam: Abnormal Examples: Vergence (x2)Light-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
1515 Coordination Exam: Abnormal Examples: Check Reflex (includes Spanish audio & captions)The patient is unable to stop flexion of the arm on sudden release so the arm may strike the chest and doesn't recoil to the initial position. This is most likely due to failure of timely triceps contraction. NeuroLogic Exam has been supported by a grant from the Slice of Life Development Fund at th...Coordination Examination; Check ReflexNeuroLogic Exam: An Anatomical Approach
1516 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 1 - OlfactionThis patient has difficulty identifying the smells presented. Loss of smell is anosmia. The most common cause is a cold (as in this patient) or nasal allergies. Other causes include trauma or a meningioma effecting the olfactory tracts. Anosmia is also seen in Kallman syndrome because of agenesis of...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
1517 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
1518 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 2 - Visual Acuity (x2)This patient's visual acuity is being tested with a Rosenbaum chart. First the left eye is tested, then the right eye. He is tested with his glasses on so this represents corrected visual acuity. He has 20/70 vision in the left eye and 20/40 in the right. His decreased visual acuity is from optic ne...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
1519 Coordination Exam: Abnormal Examples: Hand - Rapid Alternating Movements (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
1520 Coordination Exam: Abnormal Examples: Natural Gait (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
1521 Coordination Exam: Normal Exam: Hand - Rapid Alternating Movements (x2) (includes Spanish audio & captions)Finger tapping, wrist rotation and front-to-back hand patting. Watch for the rapidity and rhythmical performance of the movements noting any right-left disparity. NeuroLogic Exam has been supported by a grant from the Slice of Life Development Fund at the University of Utah, the Department of Pediat...Coordination Examination; Rapid Alternating MovementsNeuroLogic Exam: An Anatomical Approach
1522 Coordination Exam: Normal Exam: Hand - Rapid Alternating Movements (includes Spanish audio & captions)Finger tapping, wrist rotation and front-to-back hand patting. Watch for the rapidity and rhythmical performance of the movements noting any right-left disparity. NeuroLogic Exam has been supported by a grant from the Slice of Life Development Fund at the University of Utah, the Department of Pediat...Coordination Examination; Rapid Alternating MovementsNeuroLogic Exam: An Anatomical Approach
1523 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
1524 Coordination Exam: Normal Exam: Heel-to-shin (x2) (includes Spanish audio & captions)The patient places her heel on the opposite knee then runs the heel down the shin to the ankle and back to the knee in a smooth coordinated fashion. 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 O...Coordination Examination; Heel-shin TestNeuroLogic Exam: An Anatomical Approach
1525 Cranial Nerve Exam: Abnormal Examples: Cranial Nerves 3, 4 & 6 - Versions (x2)The first patient shown has incomplete abduction of her left eye from a 6th nerve palsy. The second patient has a left 3rd nerve palsy resulting in ptosis, dilated pupil, limited adduction, elevation, and depression of the left eye. NeuroLogic Exam has been supported by a grant from the Slice of Lif...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
1526 Coordination Exam: Normal Exam: Toe-to-finger (x2) (includes Spanish audio & captions)The patient touches her toe to the examiner's finger repetitively as the examiner moves his finger to new positions. 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 Univer...Coordination Examination; Toe-to-finger TestNeuroLogic Exam: An Anatomical Approach
1527 Coordination Exam: Normal Exam: Toe-to-finger (includes Spanish audio & captions)The patient touches her toe to the examiner's finger repetitively as the examiner moves his finger to new positions. 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 Univer...Coordination Examination; Toe-to-finger TestNeuroLogic Exam: An Anatomical Approach
1528 Coordination Exam: Normal Exam: Foot - Rapid Alternating Movements (x2) (includes Spanish audio & captions)Patient taps her foot on the examiner's hand or on the floor. 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 Medical Center. Viewing the video requ...Coordination Examination; Rapid Alternating MovementsNeuroLogic Exam: An Anatomical Approach
1529 Gait Exam: Normal Exam: Heel and Toe WalkingA good way to test balance as well as strength of the distal lower extremities is to have the patient heel and toe walk. 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 Un...Gait Examination; Heel-toe GaitNeuroLogic Exam: An Anatomical Approach
1530 Cranial Nerve Exam: Abnormal Examples: Cranial Nerves 3, 4 & 6 - DuctionsEach eye is examined with the other covered (this is called ductions). The patient is unable to adduct either the left or the right eye. If you watch closely you can see nystagmus upon abduction of each eye. When both eyes are tested together (testing versions) you can see the bilateral adduction de...Cranial Nerve Examination; DuctionsNeuroLogic Exam: An Anatomical Approach
1531 Coordination Exam: Anatomy: Introduction (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
1532 Coordination Exam: Normal Exam: Tandem Gait (x2) (includes Spanish audio & captions)The patient is asked to walk heel-to-toe. Note steadiness. Tandem gait requires the patient to narrow the station and maintain balance over a 4-5 inch width. Patients with midline ataxias have difficulty with tandem gait. NeuroLogic Exam has been supported by a grant from the Slice of Life Developme...Coordination Examination; Tandem Gait; Heel-toe GaitNeuroLogic Exam: An Anatomical Approach
1533 Coordination Exam: Abnormal Examples: Toe-to-finger (includes Spanish audio & captions)Same as finger-to-nose except for the lower extremities. For both the upper and lower extremities, it is important to always compare right versus left. 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 th...Coordination Examination; Toe-to-finger TestNeuroLogic Exam: An Anatomical Approach
1534 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 5 - MotorThe first patient shown has weakness of the pterygoids and the jaw deviates towards the side of the weakness. The second patient shown has a positive jaw jerk which indicates an upper motor lesion affecting the 5th cranial nerve. Video courtesy of Alejandro Stern, Stern Foundation. NeuroLogic Exam h...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
1535 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 8 - Auditory Acuity, Weber & Rinne Tests (x2)This patient has decreased hearing acuity of the right ear. The Weber test lateralizes to the right ear and bone conduction is greater than air conduction on the right. He has a conductive hearing loss. NeuroLogic Exam has been supported by a grant from the Slice of Life Development Fund at the Univ...Cranial Nerve Examination; Weber Test; Rinne TestNeuroLogic Exam: An Anatomical Approach
1536 Cranial Nerve Exam: Abnormal Examples: Cranial Nerves 3, 4 & 6 - VersionsThe first patient shown has incomplete abduction of her left eye from a 6th nerve palsy. The second patient has a left 3rd nerve palsy resulting in ptosis, dilated pupil, limited adduction, elevation, and depression of the left eye. NeuroLogic Exam has been supported by a grant from the Slice of Lif...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
1537 Coordination Exam: Anatomy: Subdivisions of the Cerebellum (x2) (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
1538 Coordination Exam: Normal Exam: Tandem Gait (includes Spanish audio & captions)The patient is asked to walk heel-to-toe. Note steadiness. Tandem gait requires the patient to narrow the station and maintain balance over a 4-5 inch width. Patients with midline ataxias have difficulty with tandem gait. NeuroLogic Exam has been supported by a grant from the Slice of Life Developme...Coordination Examination; Tandem Gait; Heel-toe GaitNeuroLogic Exam: An Anatomical Approach
1539 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 2 - Visual FieldsThe patient's visual fields are being tested with gross confrontation. A right sided visual field deficit for both eyes is shown. This is a right hemianopia from a lesion behind the optic chiasm involving the left optic tract, radiation or striate cortex. NeuroLogic Exam has been supported by a gran...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
1540 Coordination Exam: Anatomy: Cerebrocerebellum (x2) (includes Spanish audio & captions)The 3rd subdivision of the cerebellum is the cerebrocerebellum. This system consists of connections from the cerebral cortex (predominantly motor) to the cerebellar hemispheres then back to the cerebral cortex. This system is important in motor planning. Dysfunction of the cerebellar hemispheres res...Coordination ExaminationNeuroLogic Exam: An Anatomical Approach
1541 Cranial Nerve Exam: Abnormal Examples: Optokinetic Nystagmus (x2)This patient has poor optokinetic nystagmus when the tape is moved to the right or left. The patient lacks the input from the parietal-occipital gaze centers to initiate smooth pursuit movements therefore her visual tracking of the objects on the tape is inconsistent and erratic. Patients who have a...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
1542 Coordination Exam: Abnormal Examples: Speech - Rapid Alternating Movements - Dysarthria (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
1543 Cranial Nerve Exam: Abnormal Examples: Cranial Nerves 3, 4 & 6 - Inspection & Ocular Alignment (x2)This patient with ocular myasthenia gravis has bilateral ptosis, left greater then right. There is also ocular misalignment because of weakness of the eye muscles especially of the left eye. Note the reflection of the light source doesn't fall on the same location of each eyeball. NeuroLogic Exam ha...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
1544 Coordination Exam: Normal Exam: Finger-to-nose (x2) (includes Spanish audio & captions)The patient moves her pointer finger from her nose to the examiner's finger as the examiner moves his finger to new positions and tests accuracy at the furthest outreach of the arm. NeuroLogic Exam has been supported by a grant from the Slice of Life Development Fund at the University of Utah, th...Coordination Examination; Finger-to-nose TestNeuroLogic Exam: An Anatomical Approach
1545 Coordination Exam: Normal Exam: Check Reflex (includes Spanish audio & captions)Examiner pulls on actively flexed arm then suddenly releases. The patient should be able to check or stop the arm's movement when released. 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 ...Coordination Examination; Check ReflexNeuroLogic Exam: An Anatomical Approach
1546 Coordination Exam: Anatomy: Vestibulocerebellum (includes Spanish audio & captions)The first subdivision of the cerebellum is the vestibulocerebellum. This consists of the connections between the vestibular system and the flocculonodular lobe. Dysfunction of this system results in nystagmus, truncal instability (titubation), and truncal ataxia. NeuroLogic Exam has been supported b...Coordination Examination; Flocculonodular Lobe; VestibulocerebellumNeuroLogic Exam: An Anatomical Approach
1547 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 5 - Sensory (x2)There is a sensory deficit for both light touch and pain on the left side of the face for all divisions of the 5th nerve. Note that the deficit is first recognized just to the left of the midline and not exactly at the midline. Patients with psychogenic sensory loss often identify the sensory change...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
1548 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 5 - SensoryThere is a sensory deficit for both light touch and pain on the left side of the face for all divisions of the 5th nerve. Note that the deficit is first recognized just to the left of the midline and not exactly at the midline. Patients with psychogenic sensory loss often identify the sensory change...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
1549 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
1550 Coordination Exam: Abnormal Examples: Tandem Gait (x2) (includes Spanish audio & captions)Patients with ataxia have difficulty narrowing the station in order to walk heel to toe. Tandem gait is helpful in identifying subtle or mild gait ataxia. 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...Coordination Examination; Tandem Gait; Heel-toe GaitNeuroLogic Exam: An Anatomical Approach
1551 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 2 - Visual AcuityThis patient's visual acuity is being tested with a Rosenbaum chart. First the left eye is tested, then the right eye. He is tested with his glasses on so this represents corrected visual acuity. He has 20/70 vision in the left eye and 20/40 in the right. His decreased visual acuity is from optic ne...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
1552 Coordination Exam: Abnormal Examples: Toe-to-finger (x2) (includes Spanish audio & captions)Same as finger-to-nose except for the lower extremities. For both the upper and lower extremities, it is important to always compare right versus left. 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 th...Coordination Examination; Toe-to-finger TestNeuroLogic Exam: An Anatomical Approach
1553 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
1554 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
1555 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
1556 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
1557 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
1558 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
1559 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
1560 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
1561 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
1562 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
1563 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
1564 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
1565 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
1566 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
1567 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
1568 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
1569 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
1570 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
1571 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
1572 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
1573 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
1574 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
1575 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
1576 Coordination Exam: Abnormal Examples: Tandem Gait (includes Spanish audio & captions)Patients with ataxia have difficulty narrowing the station in order to walk heel to toe. Tandem gait is helpful in identifying subtle or mild gait ataxia. 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...Coordination Examination; Tandem Gait; Heel-toe GaitNeuroLogic Exam: An Anatomical Approach
1577 Coordination Exam: Abnormal Examples: Foot - Rapid Alternating Movements (x2) (includes Spanish audio & captions)Movements are slow and irregular with imprecise timing of agonist and antagonist muscle action. 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 Medi...Coordination Examination; Rapid Alternating Movements; AdiadochokinesisNeuroLogic Exam: An Anatomical Approach
1578 Coordination Exam: Abnormal Examples: Rebound (x2) (includes Spanish audio & captions)Increased range of movement with lack of normal recoil to original position is seen in cerebellar disease. 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 Ne...Coordination Examination; ReboundNeuroLogic Exam: An Anatomical Approach
1579 Gait Exam: Anatomy: IntroductionAll levels of the neuroaxis contribute to gait although most gait abnormalities are motor in nature. In assessing gait it is important to not only watch the lower extremities but also the upper extremities for normal associated movements. NeuroLogic Exam has been supported by a grant from the Slice ...Gait ExaminationNeuroLogic Exam: An Anatomical Approach
1580 Coordination Exam: Abnormal Examples: Rebound (includes Spanish audio & captions)Increased range of movement with lack of normal recoil to original position is seen in cerebellar disease. 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 Ne...Coordination Examination; ReboundNeuroLogic Exam: An Anatomical Approach
1581 Cranial Nerve Exam: Anatomy: Major Oculomotor Gaze Systems (x2)Eye movements are controlled by 4 major oculomotor gaze systems, which are tested for on the neurological exam. They are briefly outlined here: Saccadic (frontal gaze center to PPRF (paramedian pontine reticular formation) for rapid eye movements to bring new objects being viewed on to the fovea. Sm...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
1582 Cranial Nerve Exam: Abnormal Examples: Cranial Nerves 3, 4 & 6 - Ductions (x2)Each eye is examined with the other covered (this is called ductions). The patient is unable to adduct either the left or the right eye. If you watch closely you can see nystagmus upon abduction of each eye. When both eyes are tested together (testing versions) you can see the bilateral adduction de...Cranial Nerve Examination; DuctionsNeuroLogic Exam: An Anatomical Approach
1583 Cranial Nerve Exam: Anatomy: Major Oculomotor Gaze SystemsEye movements are controlled by 4 major oculomotor gaze systems, which are tested for on the neurological exam. They are briefly outlined here: Saccadic (frontal gaze center to PPRF (paramedian pontine reticular formation) for rapid eye movements to bring new objects being viewed on to the fovea. Sm...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
1584 Gait Exam: Anatomy: Localizing ValueThere are 7 basic pathological gaits that should be recognized by their characteristic pattern. These pathological gaits are: - Hemiplegic - Spastic diplegic - Neuropathic - Myopathic - Parkinsonian - Chorea - Ataxic These gaits have localizing value because they can indicate levels (an y axis a...Gait Examination; Hemiplegic Gait; Spastic Diplegia; Neuropathic Gait; Myopathic Gait; Diplegic GaitNeuroLogic Exam: An Anatomical Approach
1585 Coordination Exam: Anatomy: Midline Ataxia (x2) (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
1586 Coordination Exam: Abnormal Examples: Tremor (includes Spanish audio & captions)A cerebellar intention tremor (1st scene in this movie) arises mainly from limb girdle muscles and is maximal at the most demanding phase of the active movement. This must be distinguished from a postural tremor (fine distal 8-13 Hz)(2nd scene) or resting tremor (coarse distal 5-6 Hz pill-rolling ty...Coordination Examination; Intention Tremor; Static Tremor; Resting TremorNeuroLogic Exam: An Anatomical Approach
1587 Cranial Nerve Exam: Normal Exam: Vergence (x2)Vergence eye movements occur when the eyes move simultaneously inward (convergence) or outward (divergence) in order to maintain the image on the fovea that is close up or far away. Most often convergence is tested as part of the near triad. When a patient is asked to follow an object that is brough...Cranial Nerve Examination; VergenceNeuroLogic Exam: An Anatomical Approach
1588 Cranial Nerve Exam: Abnormal Examples: Optokinetic NystagmusThis patient has poor optokinetic nystagmus when the tape is moved to the right or left. The patient lacks the input from the parietal-occipital gaze centers to initiate smooth pursuit movements therefore her visual tracking of the objects on the tape is inconsistent and erratic. Patients who have a...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
1589 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 11 - Motor (x2)When 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
1590 Coordination Exam: Anatomy: Cerebrocerebellum (includes Spanish audio & captions)The 3rd subdivision of the cerebellum is the cerebrocerebellum. This system consists of connections from the cerebral cortex (predominantly motor) to the cerebellar hemispheres then back to the cerebral cortex. This system is important in motor planning. Dysfunction of the cerebellar hemispheres res...Coordination ExaminationNeuroLogic Exam: An Anatomical Approach
1591 Gait Exam: Anatomy: Localizing ValueThere are 7 basic pathological gaits that should be recognized by their characteristic pattern. These pathological gaits are: - Hemiplegic - Spastic diplegic - Neuropathic - Myopathic - Parkinsonian - Chorea - Ataxic These gaits have localizing value because they can indicate levels (an y axis a...Gait Examination; Hemiplegic Gait; Spastic Diplegia; Neuropathic Gait; Myopathic Gait; Diplegic GaitNeuroLogic Exam: An Anatomical Approach
1592 Coordination Exam: Abnormal Examples: Tremor (x2) (includes Spanish audio & captions)A cerebellar intention tremor (1st scene in this movie) arises mainly from limb girdle muscles and is maximal at the most demanding phase of the active movement. This must be distinguished from a postural tremor (fine distal 8-13 Hz)(2nd scene) or resting tremor (coarse distal 5-6 Hz pill-rolling ty...Coordination Examination; Intention Tremor; Static Tremor; Resting TremorNeuroLogic Exam: An Anatomical Approach
1593 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 2 - FundoscopyThe first photograph is of a fundus showing papilledema. The findings of papilledema include 1. Loss of venous pulsations 2. Swelling of the optic nerve head so there is loss of the disc margin 3. Venous engorgement 4. Disc hyperemia 5. Loss of the physiologic cup and 6. Flame shaped hemorrhages. Th...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
1594 Cranial Nerve Exam: Abnormal Examples: Cranial Nerves 2 & 3 - Pupillary Light ReflexThe 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
1595 Coordination Exam: Abnormal Examples: Heel-to-shin (includes Spanish audio & captions)The patient with ataxia of the lower extremity will have difficulty placing the heel on the knee with a side-to-side irregular over- and undershooting as the heel is advanced down the shin. Dysmetria on heel-to-shin can be seen in midline ataxia syndromes as well as cerebellar hemisphere disease so ...Coordination Examination; Heel-shin TestNeuroLogic Exam: An Anatomical Approach
1596 Coordination Exam: Anatomy: Spinocerebellum (x2) (includes Spanish audio & captions)The 2nd subdivision of the cerebellum is the spinocerebellum. This system consists of the connections between the cutaneous and proprioceptive information coming from the spinal cord to the vermis and paravermis regions with corrective feedback predominantly to the muscles of truncal stability and g...Coordination Examination; Anterior Lobe of Cerebellum; SpinocerebellumNeuroLogic Exam: An Anatomical Approach
1597 Coordination Exam: Anatomy: Spinocerebellum (includes Spanish audio & captions)The 2nd subdivision of the cerebellum is the spinocerebellum. This system consists of the connections between the cutaneous and proprioceptive information coming from the spinal cord to the vermis and paravermis regions with corrective feedback predominantly to the muscles of truncal stability and g...Coordination Examination; Anterior Lobe of Cerebellum; SpinocerebellumNeuroLogic Exam: An Anatomical Approach
1598 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 7 - Motor (x2)The first patient has weakness of all the muscles of facial expression on the right side of the face indicating a lesion of the facial nucleus or the peripheral 7th nerve. The second patient has weakness of the lower half of his left face including the orbicularis oculi muscle but sparing the forehe...NeuroLogic Exam: An Anatomical Approach
1599 Cranial Nerve Exam: Abnormal Examples: Cranial Nerve 2 - Fundoscopy (x2)The first photograph is of a fundus showing papilledema. The findings of papilledema include 1. Loss of venous pulsations 2. Swelling of the optic nerve head so there is loss of the disc margin 3. Venous engorgement 4. Disc hyperemia 5. Loss of the physiologic cup and 6. Flame shaped hemorrhages. Th...Cranial Nerve ExaminationNeuroLogic Exam: An Anatomical Approach
1600 Cranial Nerve Exam: Normal Exam: VergenceVergence eye movements occur when the eyes move simultaneously inward (convergence) or outward (divergence) in order to maintain the image on the fovea that is close up or far away. Most often convergence is tested as part of the near triad. When a patient is asked to follow an object that is brough...Cranial Nerve Examination; VergenceNeuroLogic Exam: An Anatomical Approach
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