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Most recents (5)
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We often check SPEP and/or immunofixation in patients with neuropathy. Why bother, and what should I do with the results?
Welcome to Paraproteinemic Neuropathy: A #tweetorial for neurologists who order tests they have no business interpreting.
We often check SPEP and/or immunofixation in patients with neuropathy. Why bother, and what should I do with the results?
Welcome to Paraproteinemic Neuropathy: A #tweetorial for neurologists who order tests they have no business interpreting.
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For starters, let's clear the air about terminology. These are all synonyms:
- Paraproteinemia
- Monoclonal gammopathy
- M-protein
- M component
They all mean identical plasma cells are overproducing identical copies of the same immunoglobulin or immunoglobulin fragments.
For starters, let's clear the air about terminology. These are all synonyms:
- Paraproteinemia
- Monoclonal gammopathy
- M-protein
- M component
They all mean identical plasma cells are overproducing identical copies of the same immunoglobulin or immunoglobulin fragments.
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Paraproteinemia is common as we age. It's usually benign (MGUS) and asymptomatic, but can be associated with almost ANY neuropathy syndrome.
(PSA: If you do a Google image search for Stocking and Glove looking for neuropathy pics, be prepared to find a bunch of S&M sites.)
Paraproteinemia is common as we age. It's usually benign (MGUS) and asymptomatic, but can be associated with almost ANY neuropathy syndrome.
(PSA: If you do a Google image search for Stocking and Glove looking for neuropathy pics, be prepared to find a bunch of S&M sites.)
It gives my great pleasure to announce the release of THE PLEXUS, a new strategy card game about peripheral nervous system localization.
Folks, this may be our only hope to #endplexusphobia!
Click here ➡️theplexusgame.com
And open the 🧵for more surprises.
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Folks, this may be our only hope to #endplexusphobia!
Click here ➡️theplexusgame.com
And open the 🧵for more surprises.
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It’s a 2-3 player game that takes about 20 minutes🕓 to play. And here's the kicker: It's actually fun, and you don’t need to be be a master of brachial plexus anatomy to enjoy it. (In fact, my middle school-age son beat me the first time he played.😯)
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I’m selling these at cost from The Game Crafter, thegamecrafter.com/games/the-plex…
and I will donate $3 to the American Neuromuscular Foundation for every copy sold in 2022! neuromuscularfoundation.org/Home
@AmNmFoundation @AANEMorg @aanem @ShirlynAdkins
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and I will donate $3 to the American Neuromuscular Foundation for every copy sold in 2022! neuromuscularfoundation.org/Home
@AmNmFoundation @AANEMorg @aanem @ShirlynAdkins
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1/11
Time for a #tweetorial on one of my favorite topics: Wrist Drop. @AANMember @NMatch2022 #neurology #futureneurologist #neurotwitter #neurotwitternetwork @AANEMorg #meded @KoriPoRodri
The first thing you should think of when you see a patient with weak wrist extension is…
Time for a #tweetorial on one of my favorite topics: Wrist Drop. @AANMember @NMatch2022 #neurology #futureneurologist #neurotwitter #neurotwitternetwork @AANEMorg #meded @KoriPoRodri
The first thing you should think of when you see a patient with weak wrist extension is…
2/11
This. Compression of the radial nerve at spiral groove. And usually, we think of it as being caused by...
This. Compression of the radial nerve at spiral groove. And usually, we think of it as being caused by...
3/11
This. And by the way, if you’re ever curious about the surprising origins of the term “Saturday Night Palsy,” read this article. pubmed.ncbi.nlm.nih.gov/12188953/
But I digress. The spiral groove (aka radial groove) is not the only peripheral localization for wrist drop.
This. And by the way, if you’re ever curious about the surprising origins of the term “Saturday Night Palsy,” read this article. pubmed.ncbi.nlm.nih.gov/12188953/
But I digress. The spiral groove (aka radial groove) is not the only peripheral localization for wrist drop.
1/6. This chart shows you everything you need to know about localizing foot drop. But let’s make it even simpler. If dorsiflexion is weak, there is one muscle that really matters: the tibialis posterior, which does ankle INVERSION. Let’s unpack that with a cool mnemonic.
2/6 Common things are common, and most of the time, a foot drop is caused by either:
- A common peroneal neuropathy at the fibular head or
- An L5 radiculopathy.
- A common peroneal neuropathy at the fibular head or
- An L5 radiculopathy.
3/6. The peroneal nerve (which we already know is responsible for dorsiflexion) has two E’s in it. That should remind you that the PERONEAL nerve is responsible for EVERSION, through supplying the peroneus longus.
#NeurologyMorningReport Case 31 #MedTwitter Updates & Answers posted later today. Asking your help #MedEd #neurology #neurologyresident #futureneurologist #medstudent Join me in educating. Share your questions and knowledge.
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65 yo M p/w intermittent horizontal double vision. Went to an ophthalmologist who diagnosed decompensated phoria. Comes for a 2nd opinion. Healthy -no PMH. No meds. SH: No T/E/D. FH: nothing pertinent. What other pertinent questions do you have? How will you focus your exam?
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Great Qs from everyone- such great learning-teaching through seeing what everyone wants to know& examine!
Occurs at night & when tired; goes away when he closes either eye (i.e.has binocular diplopia). Also has drooping of his eyelids at night. Improves after closing eyes
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Occurs at night & when tired; goes away when he closes either eye (i.e.has binocular diplopia). Also has drooping of his eyelids at night. Improves after closing eyes
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