11 results
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
joint capsule cause ... finger at PIP ... to do with both hands ... #PhysicalExam #clinical ... #video #msk #PIP
Janeway Lesion: Flat, painless, erythematous lesions seen on the palm of this patient's hand. While
frequently associated
this patient's hand ... endocarditis, in this case ... Photo credit, Josh ... Fierer, M.D. ... Images #Clinical
Flexor Tenosynovitis

And of course don't forget Kanavel's Criteria:
1. Tenderness along course of finger
2. Symmetrical swelling of
Flexor Tenosynovitis ... And of course ... Kanavels #Criteria #Clinical ... #Sign #Hand #MSK ... #Diagnosis
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
this specific case ... . 2) Ask the patient ... to relax the hand ... phalanx of the flexed ... Positive #Abnormal #clinical
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... caused by disruption ... that is fixed in flexion ... #Management #Hand ... #Orthopedics #MSK
Pyogenic Flexor Tenosynovitis

50-year-old man, kidney transplant, with post-transplant diabetes. Inpatient for pneumonia. It evolves with delirium,
tenosynovitis of the hand ... confirmed the diagnosis ... compartments of the hand ... #Hand #Finger # ... Clinical #Photo
Dupuytren's contracture: Idiopathic thickening of the palmar facia. In this case severe enough that
it limits finger
In this case severe ... that it limits finger ... #Photo #Dupuytrens ... #Contractures #Hand ... #Palmar #UCSDH
Trigger Finger - Stenosing flexor tendon tenosynovitis

There is a change in the slip between the tendon
Stenosing flexor ... The diagnosis is ... clinical, and can ... #Stenosing #flexor ... tenosynovitis #msk
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Transverse Myelitis - Clinical ... preferentially affects the flexors ... bouts of HTN Diagnostic ... Oligoclonal IgG bands ... • Infectious causes
Lichen Planus- ...On examination, numerous purple papules were noted on the anterior surface of the forearms
surface of the hands ... lesions showed a fine ... confirming the diagnosis ... #NEJM #clinical ... #photo #lichen #