📚 “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.
Пікірлер
And what RX psychiatric chemical poison caused this? Oh wait! never mind.
Setting sun sign
Great
Thankyou ☺️
I have same problem...is there any treatment for this,my MRI and CT scan reports are normal
U should consult an ophthalmologist if these investigations are normal.
I am taking steroids from last 20 days as per the doctor..but I can't see any change..please suggest me something
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