9 results
Shoulder Exam - Provocative Testing

Supraspinatus muscle injury:
 - Jobe’s Test
 - Hawkin’s Test
 - Drop Arm
- Provocative Testing ... impingement: - Neer ... Test Labral tear ... #Maneuvers #RotatorCuff ... #Impingement #ALiEM
Labral tear - Crank Test 1. Position patient's arm in 90 degree abduction and elbow flexion
Labral tear - Crank ... arm #Diagnosis #Ortho ... Sports #Labral #Tear ... #RotatorCuff #Test ... #Crank #ALiEM
Subacromial Impingement - Neer Test 1. With the arm fully pronated, the examiner raises the arm
Impingement - Neer ... motion #Diagnosis #Ortho ... #Impingement #RotatorCuff ... #Neer #Test #ALiEM
Labral tear - O'Brien Test - 1. Position patient's shoulder in 90 degree flexion, elbow extended,
Labral tear - O'Brien ... up) #Diagnosis #Ortho ... Sports #Labral #Tear ... #RotatorCuff #Test ... #OBrien #ALiEM
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
Cerebral salt wasting ... polydipsia - Beer ... potomania - “Tea ... Differential #Diagnosis #Table
Long-Acting Injectable (LAI) - Atypical Antipsychotics 
INVEGA TRINZA 3 MONTHS 
ARISTADA 2 MONTHS 
INVEGA 1 MONTH
SUSTENNA
Adherence to daily medications ... is the shortest lasting ... injections per year ... Pharmacists are able
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
- Allergies to medications ... Stable patients ... echo in the last year ... surgery Stress Testing ... preoperative stress testing
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
intolerance, chest pain, near-syncope ... Fibrillation - Testing ... Absolute warfarin indications
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Limited laboratory testing ... PALPITATIONS: Medications ... consciousness • Near-syncope