Archives: Clinical Presentations

Causes of sensorimotor polyneuropathy Causes of motor neuropathy Causes of sensory neuropathy

History – patient relative Agent Dose Time of ingestion Examination Vital signs Neurological – tone, clonus, reactive pupils Abdomen – bowel sounds Skin changes Urinary retention Clinical syndromes Anticholinergic syndrome…

75yo John presents to the hospital with a lower respiratory tract infection. His blood test show eGFR is 40 and creatinine >100. His previous blood test earlier in the year…

Overview Hypertension is defined as BP ≥140/90 mmHg. Hypertension can be divided into Primary or Secondary. The main goal of treatment is to decrease the risk of mortality and of cardiovascular and renal…

Overview Orthostatic hypotension is an important, treatable cause of dizziness, syncope and falls. Less frequently it leads to visual disruption, dyspnea on exertion, angina and even stroke. Orthostatic hypotension also known…

  Remember Wounds require tetanus prophylaxis and broad spectrum antibiotic if significant risk of contamination, or debridement of necrotic tissue. History Side note Small projectiles at high velocities increase the likelihood…

Overview  Parkinson’s disease is a progressive neurodegenerative disorder characterised by tremor, rigidity, bradykinesia, and a wide spectrum of non-motor symptoms including sleep disorders, hyposmia, bladder and bowel dysfunction, fatigue, dementia,…

Overview Signs and symptoms of cerebellar disease presents on the same side (ipsilateral). Symptoms and signs consist of gait impairment, unclear (“scanning”) speech, visual blurring due to nystagmus, hand in-coordination,…

Approach Differential Diagnosis Pruritic Non-pruritic Pityriasis rosea Roseola infantum Atopic dermatitis Scarlet fever Erythema infectiosum   Molluscum contagiosum   Tinea infection   Distribution   Roseola Infantum (Exanthema Subitum) Pityriasis Rosea…

Overview DefinitionDelirium: Cognitive impairment typically caused by acute illness or drug toxicity (sometimes life threatening) and is often reversible. Delirium mainly affects attention.Confusion: disturbed orientation in regard to time, place, or…