Romberg's test

So this is the 10th day of April-

... 1982 exam.

Romberg, Babinski.

We have two, what, two, two jobbers.

Romberg and Babinski.

Romberg and Babinski.

Where are you seeing that?

And so I'll do what's called a stork stand.

or a Romberg or a Sharpen Romberg.

So I'll have somebody stand in tandem.

And sometimes their feet are all different directions.

Yeah.

And then if you do what's called a Romberg test to see if whenever they stand straight with their eyes open, do they sway? And then close it, do they sway?

Yeah.

And so in this person, they would have-- be o- probably okay with their eyes open, but then as you close it, they lose that sense of proprioception of where they are in a three-dimensional space, and they start to kinda sway or fall over.

That would bring about some suspicion.

Um, neurological is the really big one, though.

If they present with the signs of ataxia, broad-based gait, positive Romberg sign, Argyll Robertson pupil, altered mentation, things of that nature, you're gonna wanna consider the possibility of neurosyphilis.

When you have a patient who you think has syphilis and it's the chancre, the board exams will say, "Do the dark field microscopy." In clinical reality, you're probably just gonna do the VDRL RPR, which is a serology test.