6 results
Shoulder Exam - Provocative Testing

Supraspinatus muscle injury:
 - Jobe’s Test
 - Hawkin’s Test
 - Drop Arm
- Provocative Testing ... Labral tear: ... #Diagnosis #PhysicalExam ... #Maneuvers #RotatorCuff ... #Impingement #ALiEM
Labral tear - Crank Test 1. Position patient's arm in 90 degree abduction and elbow flexion
Test 1. ... elbow flexion 2. ... rotating arm #Diagnosis ... #Tear #RotatorCuff ... #Test #Crank #ALiEM
Labral tear - O'Brien Test - 1. Position patient's shoulder in 90 degree flexion, elbow extended,
Test - 1. ... sagittal plane) 2. ... supinated (thumb up) #Diagnosis ... #Tear #RotatorCuff ... ALiEM
Acromegaly Testing Algorithm
INDICATIONS FOR TESTING:
 • Adults – enlarged facial or acral features, abnormal musculoskeletal growth
Acromegaly Testing ... Algorithm INDICATIONS ... enlarged facial or acral ... (2 hours post GTT ... #Algorithm #diagnosis
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
decade → peripheral/acral ... GH & PRL) • ~2% ... peripheral (bronchial/abdominal ... glucose suppression test ... • Pituitary testing
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... determine if stress test ... undergoing AAA or upper abdominal ... surgery Stress Testing ... stratification #diagnosis