Key exam findings
Ability to raise extremity against gravity but unable to resist
What is 3/5 strength?
40 yr male with bilateral headaches for two months of band like quality with increased work stress and normal neuro exam aside from tight cervical muscles
What is Tension Headache?
What is right sided weakness on exam?
What is hemiparesis?
Burning pain in a dermatomal distribution followed by vesicular rash
What is Herpes Zoster or "Shingles"?
Best Beer in America 2016-2020
What is Two Hearted Ale?
Hyperactive reflexes with clonus
What is a 4+ reflex?
30 yr female with pre menstrual headaches, unilateral and throbbing in quality with visual field abnormalities for twenty minutes before headache onset and normal neuro exam
What is Classic Migraine?
Blood pressure fall of ≥20 mm systolic or ≥ 10 mm diastolic when standing
What is orthostatic hypotension?
Symmetric, distal sensory loss.
What is a peripheral neuropathy?
Local ski resort with 250 feet of vertical drop
What is Timber Ridge Ski Area?
Word finding difficulties and non fluent speech
What is expressive aphasia?
23 year male with sinus congestion, frontal headaches and upper tooth pain for two weeks with normal neuro exam
What is Acute Sinusitis?
Drooping of the eyelid
What is ptosis?
Decreased sensation to the first and second fingers and positive Tinel's and Phalen's sign
What is Carpal Tunnel Syndrome?
This city has the only authentic working Dutch windmill in the US.
What is Holland, Michigan
Past pointing with finger nose finger testing
What is dysmetria?
60 year female with right temporal headache, jaw claudication and malaise with PMH of PMR. Normal neuro exam although tender over the right temporal artery
What is Giant Cell Arteritis or Temporal Arteritis?
Pain from a stimulus that would not normally provoke pain
What is allodynia?
Increased tone, hyper-reflexia and pronator drift
What is an Upper Motor neuron Lesion?
Keith Richards of the Rolling Stones visited this factory in 1975
What is the Gibson Guitar Company?
Difficulty with rapid alternating movements
What is Dysdiadochokinesia?
75 yr male with new onset seizure and headache and PMH of chronic ear infections with T 38 C and right sided weakness on exam
What is a brain abscess?
Patient ignores objects, persons or movement on the left or right side of the environment?
What is neglect?
Back pain and unilateral patellar hypo-reflexia
What is injury to a nerve root or herniated disc? L4 for bonus
Good Morning America voted this Michigan area as the "Most Beautiful Place in America"in 2011.
What are The Sleeping Bear Sand Dunes?