Examining the Sensory System
Subtitles in English for this video can be displayed by clicking on 
(first button on the bottom right hand corner of the video).
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Ulnar Neuropathy
These two photos (Figures 1 and 2) show wasting of the left small hand muscles including the interosseous muscles, 3rd and 4th lumbricals and hypothenar muscles. The picture also shows an ulnar claw hand in which there is extension of the metacarpophalangeal joints and flexion of the proximal and distal interphalangeal joints of the 4th…
Upper Limbs
Subtitles in English for this video can be displayed by clicking on (first button on the bottom right hand corner of the video). Inspection of the Upper Limbs After adequate exposure, one should then lay the patient’s arms out comfortably. The examiner should stand at the end of the bed / facing the patient if the patient is…
Facial Nerve Palsy
In this video, one can appreciate that the patient has a lower motor neuron type of weakness affecting the right facial nerve. On asking the patient to look upwards (stimulation of the frontalis muscles), one can appreciate the lack of wrinkles over the forehead on the right side compared with the left. On asking the…
Brain Abscess
A. Clinical manifestations The clinical course of brain abscess ranges from indolent to fulminant. Most clinical manifestations are not due to the systemic signs of infection, but rather to the size and site of the abscess. Headache is the most common presenting symptom. Other symptoms and signs include changes in mental status, focal neurological deficits,…
Artificial Eye
This patient did not have any recent ocular symptoms but was noted to have significant right eye ophthalmoplegia during examination, whilst the left eye movements were completely normal. There was no double vision upon testing. Whilst one would need to consider a combined third, fourth and sixth nerve palsy in a patient with unilateral opthalmoplegia,…
Preparation of a Lumbar Puncture
Patient Position A lumbar puncture (LP) can be performed with the patient in the lateral recumbent position or sitting upright. The lateral recumbent position is preferred because it allows accurate measurement of the opening pressure. The patient shown in the photo here is in the left lateral recumbent position. Positioning of the patient is crucial…
