12 results
Shoulder Exam - Provocative Testing

Supraspinatus muscle injury:
 - Jobe’s Test
 - Hawkin’s Test
 - Drop Arm
- Hawkin’s Test ... Labral tear: ... #Diagnosis #PhysicalExam ... Testing #Maneuvers #RotatorCuff ... #Impingement #ALiEM
Labral tear - Crank Test 1. Position patient's arm in 90 degree abduction and elbow flexion
Labral tear - Crank ... Test 1. ... rotating arm #Diagnosis ... #Tear #RotatorCuff ... #Test #Crank #ALiEM
Labral tear - O'Brien Test - 1. Position patient's shoulder in 90 degree flexion, elbow extended,
Labral tear - O'Brien ... Test - 1. ... supinated (thumb up) #Diagnosis ... #Tear #RotatorCuff ... ALiEM
Subacromial Impingement - Neer Test 1. With the arm fully pronated, the examiner raises the arm
Impingement - Neer Test ... , the examiner raises ... scapulothoracic motion #Diagnosis ... #Impingement #RotatorCuff ... #Neer #Test #ALiEM
Whipple Disease (Tropheryma whipplei) - Diagnosis and Management 

Caused by: Tropheryma whipplei

Symptoms and Signs:
1. Migratory poly/oligoarthralgia
Management Caused ... Abdominal pain; ... positive T. whipplei tests ... positive T. whipplei test ... #algorithm #management
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential Diagnosis ... Algorithm Clinical ... Weakness, fatigue, nausea ... volume depletion, abdominal ... ACTH) stimulation test
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Algorithm Pinpoint ... Fecal occult blood test ... Skin biopsy • Abdominal ... #Algorithm #Causes
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
- Differential Diagnosis ... Algorithm Phoria ... Negative cover test ... #Differential #Diagnosis ... #Algorithm #Causes
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
Acromegaly - Diagnosis ... decade → peripheral/acral ... peripheral (bronchial/abdominal ... glucose suppression test ... or refractory cases
Pneumoperitoneum via Perforated Duodenal Ulcer- Free Air on Abdominal POCUS

Young patient with diffuse abdominal pain...don't let
POCUS Young ... ultimately was diagnosed ... intraperitoneal air is best ... Left lateral decubitus ... #POCUS #ultrasound