11 results
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
joint capsule cause ... to do with both hands ... Bunnel #Littler #BunnelLittler ... #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 ... Transverse Myelitis Diagnosis ... Oligoclonal IgG bands
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 #