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Author Archives: epsuadmin

Clonus

In this video, the presence of ankle clonus is being tested. Clonus is defined as a series of rhythmic, involuntary muscular contractions induced by sudden passive stretching of a muscle or tendon. To test for ankle clonus, the leg and foot should be relaxed and ...

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Muscle Wasting / Muscle Atrophy

One can appreciate from this photo that there is significant lower limb wasting (or muscle atrophy) of the right leg compared to the left. The right leg is also shorter compared to the left. Muscle wasting (or atrophy) is due to denervation of the muscle ...

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Fasciculations

These two videos are from a middle-aged man presenting with progressive bilateral lower limb and right upper limb weakness for few months. In the first video, there are prominent fasciculations over the entire right upper limb. Whilst in the second video, fasciculations can also be ...

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Areflexia

The knee-jerk, ankle-jerk and plantar reflexes are being examined in this patient. There is a slight down-going plantar reflex on the right side. Otherwise, all other reflexes are absent. Discussion of the sign Areflexia may indicate deficits in the reflex loop. This may be due to ...

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Intention Tremor

Intention tremor can be elicited by the finger-nose test. In normal patients, the movements between the physician’s finger and patient’s nose should be smooth, but adjustment is allowed according to the patient’s upper limb power. This man has intention tremor and impaired finger-nose test on the right ...

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