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ortho sports endocrinology differential insufficiency supraspinatus acth impingement labral stimulation tear causes crank cushing droparm emptycan evaluation extrapulmonary hawkin hyperfunction
Shoulder Exam - Provocative Testing Supraspinatus muscle injury: - Jobe’s Test - Hawkin’s Test - Drop Arm
- Provocative Testing ... #Diagnosis #PhysicalExam ... #Shoulder #Testing ... #Maneuvers #RotatorCuff ... #Impingement #ALiEM
Hawkin's Test 1. Position arm in throwing position and flex forward 30 degrees. 2. Examiner internally
Hawkin's Test 1. ... #Diagnosis #Ortho ... Supraspinatus #RotatorCuff ... #Test #Hawkin # ... ALiEM
Infraspinatus scapular rotation test - Patient has pain when externally rotates shoulder against resistance (with elbow
scapular rotation test ... degree flexion) #Diagnosis ... Infraspinatus #RotatorCuff ... #Test #ALiEM
Jobe's Test ("Empty Can" Test) 1. Position arm in scapular plane and point thumb down as
Jobe's Test ("Empty ... Can" Test) 1. ... #Diagnosis #Ortho ... Supraspinatus #RotatorCuff ... #Jobe #ALiEM
Labral tear - Crank Test 1. Position patient's arm in 90 degree abduction and elbow flexion
Labral tear - Crank Test ... rotating arm #Diagnosis ... #Labral #Tear #RotatorCuff ... #Test #Crank #ALiEM
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Algorithm INDICATIONS ... dexamethasone suppression test ... Hormone • MRI of adrenal ... Cushing #Syndrome #diagnosis ... #Adrenal #Hyperfunction
Subacromial Impingement - Neer Test 1. With the arm fully pronated, the examiner raises the arm
Impingement - Neer Test ... scapulothoracic motion #Diagnosis ... #Impingement #RotatorCuff ... #Neer #Test #ALiEM
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... #Algorithm #ACTH ... #Stimulation #Test
Drop Arm Test 1. Position patient's arm fully abducted so hand is over the head. 2.
Drop Arm Test 1. ... suddenly drop #Diagnosis ... Supraspinatus #RotatorCuff ... #Test #DropArm ... #ALiEM
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
- Differential Diagnosis ... and Screening Testing ... • Congenital adrenal ... #Differential #Diagnosis ... Screening #Workup #table
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