Throwback - who dat?
A patient with rusty-colored sputum, lobar consolidation, and alpha-hemolytic diplococci on blood agar
Streptococcus pneumoniae
Inability to shrug shoulders and turn head to the opposite side
CN XI (accessory)
False beliefs that are fixed and not shared by a culture
Delusions
A newborn with non-bilious vomiting, olive-shaped mass in RUQ, and hypochloremic metabolic alkalosis
A patient with a knife wound to the right side of the spinal cord has right-sided spastic paralysis, right-sided loss of vibration, and left-sided loss of pain and temperature
Brown-Séquard syndrome
Euthymic would be documented under this section of the mental status exam
Mood and affect
A 22-year-old woman with heat intolerance, tremor, weight loss, and exophthalmos has high T3/T4 and low TSH
Graves disease
Patient cannot look down while walking downstairs
CN IV (trochlear)
Stroking the lateral sole causes dorsiflexion of the big toe
Positive Babinski sign
A newborn with cataracts, PDA, and sensorineural deafness
Congenital rubella
A patient with severe low back pain, unilateral leg weakness, saddle anesthesia, and urinary retention
Cauda equina
Clang or word salad would be documented under this section of the mental status exam
A teenage boy with delayed puberty, anosmia, low GnRH, low LH/FSH, and failure of sexual development
Kallman syndrome
A patient has weakness of axial and proximal trunk muscles with bilateral deficits after a spinal cord lesion, but distal limb movements are relatively spared
Damage to the anterior (ventral) corticospinal tract
Patient cannot maintain upward gaze and develops eyelid drooping
What is fatigable ptosis (myasthenia gravis)