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NEURON BUNDLE
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Приєднався 10 бер 2021
📚 “Books to Bedside clinics “
🩺 We are Dr. Neeraj (Senior Resident, MD PAEDIATRICS ) & Dr. Yogita ( MD,DNB MEDICINE ; Senior Resident, Nephrology) from Delhi.
💪🏻 The sole purpose of this channel is to interact with budding medicos and share our bit of knowledge and experience with you.
Subscribe our channel for clinical videos.
🩺 We are Dr. Neeraj (Senior Resident, MD PAEDIATRICS ) & Dr. Yogita ( MD,DNB MEDICINE ; Senior Resident, Nephrology) from Delhi.
💪🏻 The sole purpose of this channel is to interact with budding medicos and share our bit of knowledge and experience with you.
Subscribe our channel for clinical videos.
oculomotor nerve palsy | ptosis | #cranialnerves
3rd nerve palsy | “down and out eye” |
A patient who presented in the opd with not able to open her one eye
#health #medico
#neet #aiims #neurology #eye #doctor #medicine
A patient who presented in the opd with not able to open her one eye
#health #medico
#neet #aiims #neurology #eye #doctor #medicine
Переглядів: 141
Відео
Things recommended by nephrologists in CKD patients | myths about salt intake #kidneydisease
Переглядів 91Місяць тому
Diet that should be followed in CKD . #myths about salt intake.
Diagnosing a child with movement disorder : seizures or no seizures? #myoclonic-jerks #cns
Переглядів 7242 місяці тому
A 10 yr old presented with multiple episodes of paroxysmal episodes of movement disorders. There is no history of loss of consciousness. What is your diagnosis?
Mastering Superficial Abdominal reflex : Normal & Absent reflex #umn-lesion #reflexes
Переглядів 2 тис.3 місяці тому
Abdominal reflex is a type of superficial reflex. It is absent in corticospinal tract lesions.
Cutis laxa | highly stretchable skin disorder| connective tissue disorder | #genetics
Переглядів 1,8 тис.3 місяці тому
Cutis laxa is a heterogenous group of disorders related to abnormalitiesin elastic tissue. It may be autosomal recessive (type I: fibulin 5 and fibulin 4 genes; type II: ATP6V0A2 gene), autosomal dominant (elastin and fibulin 5 genes), X-linked (Cu2 -transporting adenosine triphosphatase, α-polypeptide), or acquired. Acquired cutis laxa has developed after a febrile illness, inflammatory skin d...
Remember this while managing hypokalaemia #electrolytes #acidbase #treatment #emergency
Переглядів 2354 місяці тому
#clinicalpearl Error made during Management of hypokalemia #electrolytes disorder #normal saline
Infective endocarditis - thrombus formation #echo #heartvalves
Переглядів 1254 місяці тому
It is an infection of the endocardium i.e heart valves that involves thrombus formation (vegetation). The process can involve native endocardium/endothelium or prosthetic material. Infective endarteritis is a similar clinical illness involving arteries, including the ductus arteriosus, the great vessels, vascular aneurysms, and arteriovenous shunts. There occurs series of complex interactions a...
Baggy pants sign | marasmus | signs of malnutrition | #malnutrition #paediatrics #mbbs
Переглядів 1955 місяців тому
A sign of protein energy malnutrition . A child with severe wasting loses fat and muscles & appears like “skin & bones”. Another term used for this condition is “Marasmus”. When wasting is extreme, there are loose folds of skin on the buttocks & thighs. Known as “ Baggy pants appearance “.
Setting-sun sign | raised intracranial pressure in infants | hydrocephalus #neurology
Переглядів 2,5 тис.8 місяців тому
#hydrocephalus #neurology The setting-sun sign is seen in young children resulting from upward-gaze paresis. In this condition, the eyes appear driven downward, the sclera may be seen between the upper eyelid and the iris, and part of the lower pupil may be covered by the lower eyelid. Pathogenesis is not well understood, but it seems to be related to aqueductal distention with compression of p...
Prune belly syndrome | Abdominal wall defect | congenital anomalies
Переглядів 2 тис.10 місяців тому
Prune belly syndrome #congenital anomaly #abdominal wall defect Prune Belly Syndrome , also called triad syndrome or Eagle Barrett syndrome, occurs in approximately 1 in 40,000 births. 95% of affected children are male. The characteristic association of deficient abdominal muscles, undescended testes, and urinary tract abnormalities probably results from severe urethral obstruction in fetal lif...
Global aphasia in a patient - learn with example | stroke #cns #neurology
Переглядів 2,7 тис.Рік тому
Global aphasia is the most severe of all types of aphasia. This aphasia is usually associated with a large lesion in the perisylvian language area or separate lesions destroying both the PIF and PST regions. It is most commonly the result of a stroke in the middle cerebral artery that supplies blood to the lateral surface of the left hemisphere of the brain. It is usually associated with hemipl...
hypoglossal nerve palsy | 12th cranial nerve examination | | tongue paralysis #cns #stroke #neuro
Переглядів 7 тис.Рік тому
Cranial nerve palsy / hypoglossal nerve palsy CN XII is a purely motor nerve, supplying the tongue. CN XII supplies the intrinsic muscles, and all of the extrinsic muscles of the tongue except the palatoglossus, and possibly the geniohyoid muscle. The extrinsic muscles protrude and retract the tongue and move the root up and down. The intrinsic muscles change the length, the width, the curvatur...
Transcortical motor aphasia : learn with an example #clinical video #broca’s aphasia #stroke
Переглядів 8 тис.Рік тому
#transcortical-aphasia #aphasia The transcortical motor aphasias (TCAs) resembles Broca’s aphasia ,but repetition is intact in this. Pathophysiology : It involves lesions of left frontal lobe- supplementary motor area, just anterior & superior to Broca’s area. Anterior frontal lobe of language dominant hemisphere is essential for initiating and maintaining speech Damage to this area causes diff...
Diaphragm palsy in a Guillain-barre syndrome patient | diaphragm disorder #paralysis #cns
Переглядів 2,3 тис.Рік тому
Diaphragm palsy in a Guillain-barre syndrome patient | diaphragm disorder #paralysis #cns
broca’s aphasia | expressive aphasia -clinical features| learn with examples #aphasia
Переглядів 964Рік тому
broca’s aphasia | expressive aphasia -clinical features| learn with examples #aphasia
aphasia meaning | types of aphasia | wernicke's & broca's aphasia- clinical features #aphasia
Переглядів 654Рік тому
aphasia meaning | types of aphasia | wernicke's & broca's aphasia- clinical features #aphasia
Urine biochem analysis | pH significance #hematuria #urine #kidneydisease
Переглядів 3,6 тис.Рік тому
Urine biochem analysis | pH significance #hematuria #urine #kidneydisease
Superior vena cava syndrome #svc #neuro #svc-obstruction
Переглядів 5 тис.Рік тому
Superior vena cava syndrome #svc #neuro #svc-obstruction
Wartenberg’s sign | Finger flexor reflex | babinski - upper limb reflex #neurology #medschool
Переглядів 18 тис.Рік тому
Wartenberg’s sign | Finger flexor reflex | babinski - upper limb reflex #neurology #medschool
urine colours & diagnoses | kidney diseases| #hematuria | #rhabdomyolysis #urine #urineinfection
Переглядів 20 тис.Рік тому
urine colours & diagnoses | kidney diseases| #hematuria | #rhabdomyolysis #urine #urineinfection
Ventricular standstill l a rare ECG abnormality I heartblock | #arrhythmia #cardiology
Переглядів 1,3 тис.Рік тому
Ventricular standstill l a rare ECG abnormality I heartblock | #arrhythmia #cardiology
dystonia - definition & types #focaldystonia #dystonia
Переглядів 20 тис.Рік тому
dystonia - definition & types #focaldystonia #dystonia
urine analysis | urine sample precautions | urine collection #urine #urineinfection
Переглядів 6832 роки тому
urine analysis | urine sample precautions | urine collection #urine #urineinfection
nail diseases #whitenails #koilonychia #nailpsoriasis
Переглядів 2,4 тис.2 роки тому
nail diseases #whitenails #koilonychia #nailpsoriasis
chaddock reflex | an alternative to babinski sign | corticospinal tract lesion #neurology
Переглядів 9 тис.2 роки тому
chaddock reflex | an alternative to babinski sign | corticospinal tract lesion #neurology
Corrigan’s sign : Dancing carotid pulse #Aorticregurgitation #CVS
Переглядів 61 тис.2 роки тому
Corrigan’s sign : Dancing carotid pulse #Aorticregurgitation #CVS
vertical eye movements | nystagmus | downbeat nystagmus #nystagmus #verticalnystagmus
Переглядів 12 тис.2 роки тому
vertical eye movements | nystagmus | downbeat nystagmus #nystagmus #verticalnystagmus
Kernig’s Sign in a patient : Acute bacterial meningitis #cnsinfection #meningitis #neurology
Переглядів 3,3 тис.2 роки тому
Kernig’s Sign in a patient : Acute bacterial meningitis #cnsinfection #meningitis #neurology
flapping tremors l asterixis | #tremors #liverfailure #hepatology #braindisorder
Переглядів 24 тис.2 роки тому
flapping tremors l asterixis | #tremors #liverfailure #hepatology #braindisorder
nystagmus : eye movements l demo on a patient l horizontal & vertical nystagmus #neurology
Переглядів 19 тис.2 роки тому
nystagmus : eye movements l demo on a patient l horizontal & vertical nystagmus #neurology
I have same problem...is there any treatment for this,my MRI and CT scan reports are normal
Please doctor name and address
thank you! great
Welcome :)
Awesome 🎉🎉🎉❤
Thankyou :)
Great
I just have a doubt. Which is more common in ALS “ pseudo bulbar” or “bulbar” palsy? I saw a patient recently with tongue fasciculations and unable to swallow and assumed bulbar is more common in ALS.
Bulbar is more common in motor neuron diseases. Fasciculation with bulbar palsy in your patient goes in favour of MND.
Sr kya ye bimari bde ko bhi hoti hai . please jwab dijiyega
Rickets is a disease of growing bones . So, it is seen in children. In adults, osteomalacia/ osteoporosis is seen ( similar to rickets but clinical features vary).
@@NEURONBUNDLE are ye bs btao bdee bhi ye hota hai .
My baby boy is now around 22 months old. When he started walking I feel his legs are bow. But Unfortunately I have no idea of this discease. In feb 2024 a doctor suggested me lab test of alkine phosphate and some other. After their result I Found that he is suffering from rickets. Well. I started his medication but giving him d max drops calcium p and D×3 injections. After the treatment of 2 and half month when I revisit doctor I found his vitamin D level is at 120. But there is no change on his legs shape. The medication did nothing.... Doctor asked me to stop giving vitamin D immediately. But after 3 to 4 months. My baby is at same condition. His legs are bending outside under knee to foot joint. Please help me what I can do for my child....
You should consult your doctor and get follow up X-rays to know if bone mineralisation is happening or not. If yes, then you shouldn’t worry for the shape as it takes time to completely recover. Otherwise get consultation from an orthopedist.
Yar what is the solution of this.
How scary 😔😔
This is ocular flutter, maybe Opsoclonus…not nystagmus
Thank you
Welcome 🙏🏻
Below upwards so it is inferior vena cava obstruction
We have already explained in the other comments that why u can’t say it is inferior vena cava obstruction.
All ur speech videos are so helpful......hope u will continue to make such informative videos...... quality of content and the way u explain is excellent ❤
Thankyou for the compliment :) That’s the sole purpose of this channel.
Thank you mam ❤
You are welcome 🙂
thanks
Welcome 🙂
Thank you! Much appreciated.
0:40
IF this was a monitor on an actual patient, it was very convenient not showing their facial expressions or hearing their utterances when the jolt of adenosine hit them.
This video was recorded in PICU while giving adenosine .
Jolt? I've had Adenosine and there was no jolt. They administer it and everyone holds their breath waiting for the reset or having to hit you with the paddles. There was a moment where I could feel death and then my heart reset.
Wartenberg sign is something else.
Reference: deJong book of neurology . You can check it yourself.
Content is good 💯..but the music is too loud
Thankyou. We have tried to improve this in new videos.
So for that patient in the video because its filling upwards very fast its an inferior vena cava obstruction
This is a case of portal hypertension. In IVC obstruction, all the collateral veins ( above and below umbilicus ) fill up in upward direction . In this video, veins above umbilicus were fulfilling this criteria only.
Isn't it extension of great toe and fanning out of other toes
Thanks for pointing it out. You can say either Extension ( with respect to plantar surface ) or Dorsi-Flexion of the great toe.
Sir I am suffering this type of desease, any treatment, please tell me sir
There are multiple causes for this disease. You need to consult your nearby doctor ( preferably an orthopaedic doctor) . This will help you .
I can control this… Is that normal?
It is interesting if you can do this. Otherwise, it can’t be controlled.
No waternberg is not the same
I have quoted " DeJong's book of the neurologic examination ". You can check it there.
But the second (assumed dead) patient's doll eye reflex is positive. Observe the Right eye.
Right eye appears to move a bit. But it isn’t significant. So, reflex is negative . ( for positive reflex, both eyes should move in opposite direction to head movement).
1:18
Are you a medico?
Thanks for this amazing knowledge
Welcome!
Thank you for the great video. I find that while this examination technique is very easy to perform, interpreting it can be quite difficult. I mainly use it to gather evidence of upper motor neuron signs in the thoracic segment from patients I suspect to have amyotrophic lateral sclerosis. However, it's often confusing to determine whether the loss of SAR is pathological or simply absent in normal individuals.
Thankyou for your kind words. You are right. Loss of SAR becomes significant if it is associated with upper motor neuron lesions .
Same problem .Can stress and anxiety also cause mild AR ? Bcz my test showed mild AR and my doc said it is normal .and i do have severe anxiety problems
Your doctor is right. Sometimes test can show minor abnormalities without any clinical symptoms. You don’t have to worry about it.
@@NEURONBUNDLE thanks for your reply .i appreciate it so much .so does that mean that stress and anxiety could cause dancing carotid pulse ?
@user-eg8rj8bh7z Dancing carotid pulse is an extreme phenomenon of severe AR. So, mild AR won’t cause these symptoms.
This video is so amazing. I had PSVT for 5 years through puberty and would have tachycardic episodes. My BPM at its highest was 210. I was also given Adenosine in the ER to bring back normal cardiac rhythm. Amazing stuff. Thanks for sharing this video so I could see what my heart rhythm looked like. Cheers.
Glad it helped!
Hi Ma'am. Can i send u a breathing pattern video? Pleeeease suggest if the respiration is stressed out.
U can email us.
Beautiful video, thank you. This reflex can be absent in both upper & lower motor neuron lesions, isn't it?
Yes. You are right.
Can you please tell us what is the cure of this disease how we can come out of it
Actually, the treatment is based on the cause. So, you should consult your nearest doctor for better care.
الله يشفيها
Amazing video
Thank u mam
I think left hand on patient hamstring to see muscle rigidity
Sorry, but never read about it . You can quote your source . Thanks
Very helpful video, thank you
This 😢 problem treatment 😢...
Treatment is based on the underlying cause.
Excellent
My cat has it😮
Sorry!