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Parkinson Disease - Motor Exam - Screening Tests Sub-exam - Patient 4
This 76-year-old man developed tremor of his right arm and leg 15 years ago. It has increased in severity over the years. A shaking right hand affects his writing, dressing and drinking. Occasional drooling, difficulty rolling over in bed and a soft voice at times are also issues. The tremor has affected his writing and he has mild difficulty with buttons and zippers. He spills when he uses his right hand to drink. He has occasional drooling and slight difficulty rolling over in bed. His voice
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Spastic Paraplegia - Station and Gait Exam - Station 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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Parkinson Disease - Cranial Nerves Exam - Hypoglossal (CN XII) Nerve Sub-exam - Patient 4
This 76-year-old man developed tremor of his right arm and leg 15 years ago. It has increased in severity over the years. A shaking right hand affects his writing, dressing and drinking. Occasional drooling, difficulty rolling over in bed and a soft voice at times are also issues. The tremor has affected his writing and he has mild difficulty with buttons and zippers. He spills when he uses his right hand to drink. He has occasional drooling and slight difficulty rolling over in bed. His voice
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Where is Your Teacher?
In this activity, students will learn how to take bearing with a compass. They will also learn how to describe a bearing and find an object in their classroom using a bearing.
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Parkinson Disease - Coordination Exam - Upper Extremities Sub-exam - Patient 4
This 76-year-old man developed tremor of his right arm and leg 15 years ago. It has increased in severity over the years. A shaking right hand affects his writing, dressing and drinking. Occasional drooling, difficulty rolling over in bed and a soft voice at times are also issues. The tremor has affected his writing and he has mild difficulty with buttons and zippers. He spills when he uses his right hand to drink. He has occasional drooling and slight difficulty rolling over in bed. His voice
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Posterior Fossa Tumor - Station and Gait Exam - Station 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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Cerebellar Degeneration - Cranial Nerves Exam - Hypoglossal (CN XII) Nerve Sub-exam - Patient 17
This 62-year-old white male has had neurological problems dating back to 1990. His initial symptoms consisted of blurred vision and incoordination. Viewing the video requires installation of the free QuickTime Plug-in. Disease diagnosis: degenerative. Clinical history: When he turns his head to read road signs, his vision is distorted. Gait disturbances have progressed to the point that he is now extremely unsteady. He reels from side-to-side and hangs onto walls for balance. There has been prog
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Multiple Sclerosis - Sensory Exam - Deep Sub-exam - Patient 16
Shelly is a 38-year-old African American female who initially presented with transverse myelitis 2 years ago. A lumbar puncture revealed multiple oligoclonal bands in the cerebral spinal fluid. Clinical history: MRI has demonstrated numerous plaques in the bilateral cerebral white matter. She eventually went on to recover from her initial attack but since her second attack has continued to progressively worsen. Her gait and other motor functioning have deteriorated and she is now wheelchair boun
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Parkinson Disease - Station and Gait Exam - Gait Sub-exam - Patient 4
This 76-year-old man developed tremor of his right arm and leg 15 years ago. It has increased in severity over the years. A shaking right hand affects his writing, dressing and drinking. Occasional drooling, difficulty rolling over in bed and a soft voice at times are also issues. Clinical history: The tremor has affected his writing and he has mild difficulty with buttons and zippers. He spills when he uses his right hand to drink. He has occasional drooling and slight difficulty rolling over i
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Multiple Sclerosis - Coordination Exam - Lower Extremities 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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Stroke - Mental Status Exam - Attention 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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Parkinson Disease - Station and Gait Exam - Station Sub-exam - Patient 4
This 76-year-old man developed tremor of his right arm and leg 15 years ago. It has increased in severity over the years. A shaking right hand affects his writing, dressing and drinking. Occasional drooling, difficulty rolling over in bed and a soft voice at times are also issues. The tremor has affected his writing and he has mild difficulty with buttons and zippers. He spills when he uses his right hand to drink. He has occasional drooling and slight difficulty rolling over in bed. His voice
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Parkinson Disease - Cranial Nerves Exam - Facial Nerve (CN VII) Sub-exam - Patient 4
This 76-year-old man developed tremor of his right arm and leg 15 years ago. It has increased in severity over the years. A shaking right hand affects his writing, dressing and drinking. Occasional drooling, difficulty rolling over in bed and a soft voice at times are also issues. The tremor has affected his writing and he has mild difficulty with buttons and zippers. He spills when he uses his right hand to drink. He has occasional drooling and slight difficulty rolling over in bed. His voice
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Parkinson Disease - Coordination Exam - Lower Extremities Sub-exam - Patient 4
This 76-year-old man developed tremor of his right arm and leg 15 years ago. It has increased in severity over the years. A shaking right hand affects his writing, dressing and drinking. Occasional drooling, difficulty rolling over in bed and a soft voice at times are also issues. The tremor has affected his writing and he has mild difficulty with buttons and zippers. He spills when he uses his right hand to drink. He has occasional drooling and slight difficulty rolling over in bed. His voice
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Chest Radiology Tutorial
This is an interactive tutorial that serves as an introduction to chest x-ray interpretation for medical students and residents. This teaching tool can be used by the students on their own, or by the teacher to supplement other material. In addition to text and pictures, this tutorial contains interactive features which supplement the text and make it a more dynamic learning experience. The first part of the tutorial focuses on the normal chest radiograph anatomy while the second part consists o
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Wet Pennies
Students conduct a simple test to determine how many drops of each of three liquids can be placed on a penny before spilling over. The three liquids are water, rubbing alcohol, and vegetable oil; because of their different surface tensions, more water can be piled on top of a penny than either of the other two liquids. However, this is not the main point of the activity. Instead, students are asked to come up with an explanation for their observations about the different amounts of liquids a pen
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Dirty Decomposers
Students design and conduct experiments to determine what environmental factors favor decomposition by soil microbes. They use chunks of carrots for the materials to be decomposed, and their experiments are carried out in plastic bags filled with dirt. Every few days students remove the carrots from the dirt and weigh them. Depending on the experimental conditions, after a few weeks most of the carrots will have decomposed completely.
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Boxed In and Wrapped Up
Students find the volume and surface area of a rectangular box (e.g., a cereal box), and then figure out how to convert that box into a new, cubical box having the same volume as the original. As they construct the new, cube-shaped box from the original box material, students discover that the cubical box has less surface area than the original, and thus, a cube is a more efficient way to package things. Students then consider why consumer goods generally aren't packaged in cube-shaped boxes, ev
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Students As Scientists
This curricular unit contains two lessons that let students actually do the work of scientists as they design their own experiments to answer questions they generate. In the first lesson and its associated activity, students conduct a simple test to determine how many drops of each of three liquids can be placed on a penny before spilling over. The three liquids are water, rubbing alcohol, and vegetable oil; because of their different surface tensions, more water can be piled on top of a penny t
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Topo Triangulation
In this activity, students will learn how to read a topographical map and how to triangulate with just a map. True triangulation requires both a map and compass, but to simplify the activity and make it possible indoors, the compass information is given. Students will practice converting a compass measurement to a protractor measurement, as well as reverse a bearing direction (i.e., if they know a tree's bearing is 100 degrees from you, they can determine what bearing they are from the tree). St
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