Jason Mach, SPT

USC SPT, C/O 2021

[Jason Mach, SPT @MachSpt]

Diagnosis of normal pressure hydrocephalus can include improvement of sxs after a spinal tap and ventricular enlargement without cortical atrophy. The typical presentation consists of shuffling gait, urinary incontinence and impaired cognition #neuropathwk11 @juliehershberg

[Jason Mach, SPT @MachSpt]

It is common for sxs to worsen in the first 24 hours after concussion. If sxs continue to progressively worsen or evidence of focal neurological signs are present, imaging is warranted to rule out any bleeding or contusion. @juliehershberg @manjiridahdul #neuropathwk10

[Jason Mach, SPT @MachSpt]

When screening for headaches before differentiating between types, we must first rule out secondary reasons for headaches! Unfortunately for our patient, JR, a tumor was the culprit although sxs were similar to an aura! #neuropathwk9 @juliehershberg @LibbyKrauseDPT

[Jason Mach, SPT @MachSpt]

@KaylaJacobus Im taking it to a court of law

[Jason Mach, SPT @MachSpt]

Notice any of the following symptoms after visiting a chiropractor: ataxia/dysmetria, ip facial and cont body pain/temp loss, ptosis & constricted pupils?This is suggestive of insufficient blood supply to the lateral Medulla (Wallenberg's). Contact me and I will fight for you!

[Jason Mach, SPT @MachSpt]

#Neuropathwk8 @juliehershberg @LibbyKrauseDPT

[Jason Mach, SPT @MachSpt]

#Neuropathwk7 #betterlatethannever @LibbyKrauseDPT
@juliehershberg

[Jason Mach, SPT @MachSpt]

Be familiar with neuroanatomy, especially cortical and subcortical blood supply! It is telling of what neural pathways will be affected and consequently how are patients may present. This applies to the week's topics: ASD and CP but can apply to several other pathologies

[Jason Mach, SPT @MachSpt]

Season 6: Episode 14 Bart’s Comet

[Jason Mach, SPT @MachSpt]

#neuropathwk6 @juliehershberg

[Jason Mach, SPT @MachSpt]

MS is often misdiagnosed because it can have a varying timeline and sxs that span many neuroanatomical structures. Its diagnosis is one of exclusion and may require input from multiple disciplines. By being familiar with lesions DIS and DIT, PTs can be an additional set of eyes!

[Jason Mach, SPT @MachSpt]

@juliehershberg, @Carly1L Fast rate of symptom progression and autonomic dysfunctions during early stages of disease are two big differentiating factors between idiopathic Parkinson's disease and atypical Parkinsonian Syndromes #Neuropathwk5

[Jason Mach, SPT @MachSpt]

The Head Impulse Test is essentially a reflex test of the Vestibular Ocular Reflex. The direction of the head rotation will tell you which side is pathological with ipsilateral structures being tested #neuropathwk4 @juliehershberg

[Jason Mach, SPT @MachSpt]

Autonomic dysreflexia is typically caused by constant noxious stimuli that is undetected. The exaggerated response of the body has a plethora of sxs but hypertension is the easiest to objectively measure #neuropathwk3 @juliehershberg

[Jason Mach, SPT @MachSpt]

Slurred speech, dysphagia, proximal weakness, fluctuating fatigue and neck weakness when coupled with a long disease timeline (2 yrs) are typical of MG. The gold standard, Tensilon Test, can be a quick and informative test to rule IN! #neuropathwk2 @juliehershberg

[Jason Mach, SPT @MachSpt]

During differential dx when sxs seem to be closely related/overlapping, looking at the patient timeline and pmHx becomes a KEY. This was evidenced in the case of Mr. P (GBS vs CIDP). ##NeuropathWk1
@juliehershberg

[Jason Mach, SPT @MachSpt]

During differential dx when sxs seem to be closely related/overlapping, looking at the patient timeline and pmHx becomes a KEY. This was evidenced in the case of Mr. P (GBS vs CIDP). ##PT546week1 @juliehershberg