Maddie

[Maddie @maddaleb]

Does your patient present with: a wide based gait, urinary incontinence, and impaired cognition? These could be key signs of Normal Pressure Hydrocephalus! Send them in for imaging ASAP! 🧠🚨 #Neuropath2020wk13 @juliehershberg

[Maddie @maddaleb]

Is your patient presenting with headaches, seizures, and/or focal neuro deficits? Many different types of neoplasms present the same way in patients, so you should encourage them to get imaging done to visualize and locate a potential tumor. @juliehershberg #Neuropath2020wk12

[Maddie @maddaleb]

Is your elderly patient complaining of constant headaches with no apparent trauma? Keep chronic subdural hematomas in your differential diagnosis. This may be the culprit 🕵️‍♀️
#Neuropath2020wk11 @manjiridahdul @juliehershberg

[Maddie @maddaleb]

Does your patient present with persistent headaches over the past few months? Are you having difficult categorizing them into one headache causing category? Take a look at their meds- they might be experiencing medication overuse headaches!! 🤕 #Neuropath2020wk10 @juliehershberg

[Maddie @maddaleb]

Did your patient have a stroke? Are they presenting with sensory deficits on one side of the body but on the opposite side of the face? An issue at the level of the brainstem might be the culprit!! 🧠 #Neuropath2020wk9 @juliehershberg

[Maddie @maddaleb]

Toe walking can be a normal movement strategy in a child, but may be a cause for concern if it persists. You might want to check with your child’s pediatrician or physical therapist to assess the cause of their tippy toe strategy! #Neuropath2020wk8 @bmendonca_usc @juliehershberg

[Maddie @maddaleb]

Has your patient been diagnosed with MS, but is exhibiting LMN dysfunction? This is a BIG sign that they may not actually have MS! 🚩Consider checking in with their MD to discuss! @juliehershberg #neuropath2020wk7

[Maddie @maddaleb]

Do you worry that your patient doesn’t like you and your jokes don’t even make them smile? ☹️You might just not be funny🤡 OR your patient may just be presenting with hypomimia! Many patients with Parkinson’s experience masked face. #Neuropath2020wk6 @juliehershberg @NoraDarak

[Maddie @maddaleb]

@sydnops @HoodieAllen Tru luv 💜

[Maddie @maddaleb]

@sydnops @RedbubbleHelp Same

[Maddie @maddaleb]

Does your patient have unilateral facial weakness? Are you nervous they are having a CVA? If their forehead is spared, they may be experiencing Bell’s palsy instead 🔔 #Neuropath2020wk5 @juliehershberg @NoraDarak

[Maddie @maddaleb]

Is your patient presenting with a new onset of sensory or motor deficits? Did they previously have myelomeningocele? 🤔 A common complication you should consider is tethered spinal cord!
#Neuropath2020wk4 @manjiridahdul @juliehershberg

[Maddie @maddaleb]

Are your patient’s sensory and motor symptoms waxing an waning? Use EMG/NCS and CSF studies to rule in or out CIDP!! 👩🏻‍⚕️🧪 #waxonwaxoff #peripheralneuropathies #increasedproteininCSF #Neuropath2023wk3 @juliehershberg

[Maddie @maddaleb]

If you see a pt with a tri-furrow tongue, try a Tensilon Test! It can help rule in Myasthenia Gravis in both dogs and humans! 🐶💉 @juliehershberg #neuropath2020wk2

[Maddie @maddaleb]

Chronic inflammatory demyelinating polyneuropathy has a similar presentation the Guillain-Barré syndrome, but it is more chronic and Guillain-Barré is more acute! 🧐 👩🏻‍⚕️ #Neuropath2020wk1 @juliehershberg