Posterior Fossa Tumor - Cranial Nerves Exam - Olfactory (CN I) Nerve Sub-exam - Patient 9
Patient is a 58-year-old white male with a history of acoustic neuroma that was resected in 1990. He has residual cranial nerve palsies on the right side and experiences tremors, ataxia and disequilibrium. His wife reports that she has noticed an increase in right hand tremor for the past year or so. The tremor worsens as the day progresses and occurs with activity. Patient reports an increase in balance problems while standing over the past 4 months. He has noticed that he staggers a step or t
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Multiple Sclerosis - Cranial Nerves Exam - Hypoglossal (CN XII) Sub-exam - Patient 20
Janie is a 39-year-old Caucasian female who initially presented with weakness and L'Hermitte’s phenomena at the age of 35. Initially mistaken as a TIA, MRI of the brain revealed numerous plaques in the white matter suggesting Multiple Sclerosis. Her lumbar puncture initially failed to demonstrate the presence of oligoclonal bands, but since progression of the disease over the past few years bands have developed.
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Multiple Sclerosis - Cranial Nerves Exam - Trigeminal (CN V) Sub-exam - Patient 20
Janie is a 39-year-old Caucasian female who initially presented with weakness and L'Hermitte’s phenomena at the age of 35. Initially mistaken as a TIA, MRI of the brain revealed numerous plaques in the white matter suggesting Multiple Sclerosis. Her lumbar puncture initially failed to demonstrate the presence of oligoclonal bands, but since progression of the disease over the past few years bands have developed.
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Normal - Cranial Nerves Exam - Glossopharyngeal (CN IX) and Vagus (CN X) Nerves Sub-exam - Patient 1
Patient is a female with no known neurological health problems who volunteered to act as a simulated patient in order to demonstrate 'normal' responses to exam techniques. She is merely a reference point for exam procedures and protocols, as well as to denote subtle signs from diagnosed patients.
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Myotonic Muscular Dystrophy - Cranial Nerves Exam - Facial Nerve (CN VII) Sub-exam - Patient 2
Patient is a 52-year-old African-American male with a known diagnosis of myotonic muscular dystrophy. His neuromuscular symptoms began in the early 1990s with poor dexterity in the hands, dropping objects, and clumsiness with fine motor weakness. He is very slow buttoning clothes, putting on his shoes, brushing his teeth, shaving, and other similar activities. He has trouble in ambulation and falls frequently. He has trouble getting up from a chair or sofa and climbing stairs. He also reports co
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Primary Lateral Sclerosis - Cranial Nerves Exam - Facial Nerve (CN VII) Sub-exam - Patient 14
This video features a 54-year-old white male who presented for evaluation of progressive spastic paraparesis. He stated that symptoms first started in 1997 when "things were different with my legs" (i.e., leg weakness, imbalance, and speech problems). Symptoms started in his left foot, when he couldn't keep time to music. His feet started dragging and he also noticed problems with balance. In 1999, he started falling and sought medical attention. He was diagnosed with spastic paraparesis after
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Parkinson Disease - Cranial Nerves Exam - Oculomotor, Trochlear, Abducens (CN III, IV, VI) Nerves Su
The patient is a 68-year-old Caucasian male admitted to the VA on February 27, 2002, because of severe tremors and inability to walk due to chronic Parkinson Disease. This gentleman had been living with Parkinson Disease for many years and apparently, in spite of prescribed medications, had not improved or was getting worse. He experiences tremors, drooling, an inability to walk, and difficulty swallowing. Recently he had been unable to take the full dose of his carbidopa/levodopa medication du
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Cervical Myelopathy - Cranial Nerves Exam - Hypoglossal (CN XII) Nerve Sub-exam - Patient 13
This 46-year-old African American male presented with progressive weakness of the lower extremities for three months. He had increasing difficulty with walking and balance and now is unable to walk without assistance. He also complained of numbness and "pins and needles" sensation in the upper extremities with clumsiness and decreased dexterity in his right hand. He did not have neck or radicular pain and had no bowel or bladder problems or sexual dysfunction, but did have some urinary urgency.
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Posterior Fossa Tumor - Cranial Nerves Exam - Trigeminal (CN V) Sub-exam - Patient 9
Patient is a 58-year-old white male with a history of acoustic neuroma that was resected in 1990. He has residual cranial nerve palsies on the right side and experiences tremors, ataxia and disequilibrium. His wife reports that she has noticed an increase in right hand tremor for the past year or so. The tremor worsens as the day progresses and occurs with activity. Patient reports an increase in balance problems while standing over the past 4 months. He has noticed that he staggers a step or t
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Stroke - Cranial Nerves Exam - Glossopharyngeal (CN IX) and Vagus (CN X) Sub-exam - Patient 19
This video features a 65-year-old right-handed white male. He was in the Air Force from 1962 until his retirement in 1982. The veteran reported that in 1995 he was diagnosed with inclusion body myositis. He first reported a problem in the early 1990s when carrying his briefcase. He noted problems lifting his right leg up to step onto the bus. Falls began around1994, prompting him to seek medical attention. The initial evaluation showed primarily lower motor neuron findings. He underwent several
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Primary Lateral Sclerosis - Cranial Nerves Exam - Oculomotor, Trochlear, and Abducens (CN III, IV, V
This video features a 54-year-old white male who presented for evaluation of progressive spastic paraparesis. He stated that symptoms first started in 1997 when "things were different with my legs" (i.e., leg weakness, imbalance, and speech problems). Symptoms started in his left foot, when he couldn't keep time to music. His feet started dragging and he also noticed problems with balance. In 1999, he started falling and sought medical attention. He was diagnosed with spastic paraparesis after
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Spastic Paraplegia - Cranial Nerves Exam - Hypoglossal (CN XII) Sub-exam - Patient 5
This video features a 54-year-old white male with a history of spastic paraplegia (diagnosed in 1994) and no previous history of heart disease or cardiac workup. He presented to the Emergency Room complaining of three days on-and-off retrosternal chest pain. Patient presented to the ER complaining of three days on-and-off retrosternal chest pain, rated 3/10, lasting approximately 30 minutes, occurring multiple times daily at rest or during activity. The first episode occurred three days before
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Primary Lateral Sclerosis - Cranial Nerves Exam - Hypoglossal (CN XII) Sub-exam - Patient 14
This video features a 54-year-old white male who presented for evaluation of progressive spastic paraparesis. He stated that symptoms first started in 1997 when "things were different with my legs" (i.e., leg weakness, imbalance, and speech problems). Symptoms started in his left foot, when he couldn't keep time to music. His feet started dragging and he also noticed problems with balance. In 1999, he started falling and sought medical attention. He was diagnosed with spastic paraparesis after
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Multi System Degeneration - Cranial Nerves Exam - Trigeminal (CN V) Nerve Sub-exam - Patient 6
Patient's speech is difficult to understand; loss of balance (fell off a truck); occasional choking spells, especially if he eats fast; bladder urgency; and slight impairment of memory. The patient returns for a follow-up with his wife. Since the last visit, he reports no significant changes. His speech is unchanged. Balance is the same with occasional falling. He has occasional choking spells, especially if he eats fast. He continues to have bladder urgency and an occasional accident, but he a
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Parkinson Disease - Cranial Nerves Exam - Hypoglossal (CN XII) Nerve Sub-exam - Patient 10
The patient is a 68-year-old Caucasian male admitted to the VA on February 27, 2002, because of severe tremors and inability to walk due to chronic Parkinson Disease. This gentleman had been living with Parkinson Disease for many years and apparently, in spite of prescribed medications, had not improved or was getting worse. He experiences tremors, drooling, an inability to walk, and difficulty swallowing. Recently he had been unable to take the full dose of his carbidopa/levodopa medication du
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#36 How to Perform; Getting over Nerves when Playing at a Performance, Tips and Tricks to a Successf
In this lesson I cover the topic of performance. Most people DREAD performing piano infront of people. In this lesson I cover some approaches to dealing with your nerves and letting the best performance come out when you're up on stage. Music performance should be FUN! Performing is a thrill not torture.
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Normal - Cranial Nerves Exam - Optic (CN II) Nerve Sub-exam - Patient 1
Patient is a female with no known neurological health problems who volunteered to act as a simulated patient in order to demonstrate 'normal' responses to exam techniques. She is merely a reference point for exam procedures and protocols, as well as to denote subtle signs from diagnosed patients.
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Peripheral Nerves
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Spinal Cord and Nerves
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Peripheral Nerves
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