@clinician.insight: 👋😳 Hands “flapping” while trying to hold still? That’s a BIG clue. This video shows rhythmic 3–5 Hz wrist drops with arms outstretched — not a true tremor 👀 💡 Diagnosis / Sign: 👉 Asterixis 🎯 🧠 What’s happening: • Brief loss of sustained muscle tone (negative myoclonus) • Hands suddenly drop → then correct → “flap” ⚠️ Classically seen in: • Hepatic encephalopathy 🍺 • Uremia (renal failure) • CO₂ retention (respiratory failure) 🩺 How to elicit: • Arms extended forward • Wrists dorsiflexed, fingers spread • Watch for irregular flapping 📌 Clinical pearl: 👉 “Flapping hands = metabolic encephalopathy until proven otherwise” 💬 Did you recognize it instantly? ❤️ Like for more neuro signs 📌 Save for exams 👥 Tag someone revising medicine #fyp #foryou #viral #trending #medical #medtok #neurology #tremor #essentialtremor #clinicalcases #diagnosis #doctorlife #medstudent #mbbs #futuredoctor #learnmedicine #healthcare #hospital #medicine #education #examrevision #movementdisorders #explore #explorepage