Neurology collections 2020

2022-01-06 23:11:58 A 50-year-old gentleman presents to the emergency department having had a fall.
Examination revealed ataxia and some mild extrapyramidal signs. He was receiving treatment for suspected
Parkinson's disease following a fall he had had six months ago when he demonstrated extrapyramidal signs.
His symptoms had been noted to have improved with the medication. Tilt table testing was performed and
found to be positive.
What is the likely diagnosis? Open / Comment

2022-01-06 06:10:58 Open / Comment

2022-01-06 06:09:58 A 55-year-old man presents with neck pain.
One week previously he had attended for a sigmoidoscopy and was given intravenous sedation during this
procedure. One day prior to admission his neck and shoulders had become stiff.
On examination, the temperature was 38.0°C, blood pressure was 100/60 mmHg and heart rate 100 bpm.
There were absent biceps jerks and weakness of trapezius, deltoid and triceps bilaterally. The cranial nerves
and lower limbs were normal.
There was a soft systolic murmur, and the chest was clear.
Which examination is likely to confirm the diagnosis? Open / Comment

2022-01-05 22:59:52 A 59-year-old female pub landlady presents with acute, severe lumbar back pain. There is no history of orthopaedic problems and until this event she had been in perfect health. The patient complains of paraesthesia in the lower limbs and on further questioning… Open / Comment

2022-01-05 22:59:03 A 59-year-old female pub landlady presents with acute, severe lumbar back pain.
There is no history of orthopaedic problems and until this event she had been in perfect health.
The patient complains of paraesthesia in the lower limbs and on further questioning has not voided urine since
the onset of the pain.
Neurological examination reveals weakness (3/5 of both lower limbs, loss of sensation in L4, L5 and S1).
Vibration sensation and joint position sensation is preserved. Reflexes in the ankles and knees are absent and
the plantar response is equivocal.
The blood pressure is 158/68 mmHg, heart rate 95 bpm, temperature 36.9°C and ECG shows normal sinus
rhythm with no ischaemic changes.
The remainder of the examination is normal.
Which of the following should be undertaken next for this patient? Open / Comment

2022-01-04 12:00:04 All anatomy videos here for free
https://t.me/gross_anatomy2021 Open / Comment

2022-01-03 10:37:00 Open / Comment

2022-01-03 10:36:02 Open / Comment

2022-01-03 10:35:04 A 42-year-old male with a 15 year history of type 1 diabetes presents with a two month history of deteriorating
pain and stiffness of the right shoulder.
On examination he has painful limitation of internal rotation and can abduct the right arm to only 90 degrees.
Flexion is relatively unimpaired. There is some weakness of movement of that shoulder with slight wasting of

shoulder muscles. He has some reduced vibration sensation in both hands.
Which of the following is the most likely diagnosis? Open / Comment

2022-01-02 20:23:00 Open / Comment