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Characteristic clinical manifestations of Down syndrome

Typical craniofacial appearance
• Round face and flat

manifestations of Down ... tumours • Risk of atlanto-axial ... #Downs #Syndrome

Unstable Cervical Spine Fractures
The common mnemonic “Jefferson Bit Off A Hangman’s Thumb,” is used to

Dens Fracture Atlanto-occipital ... Dislocation Atlanto-axial

Effect of different head positions on upper airway dimensions
- Atlanto-occipital Extension
- Neutral

dimensions - Atlanto-occipital

Jugular Venous Distension on Physical Exam - Sitting Down (90°) vs Supine (45°)

Dr. Eduardo R

Exam - Sitting Down ... PhysicalExam #clinical #video

Seesaw nystagmus
-> eye move in an opposed vertical fashion (one goes up while the other

the other goes down ... intorts, eye moving down ... the other moves down ... Video by Kathleen ... ophthalmology #clinical #video

Cervical Spine X-Ray Anatomy - Lateral
Very commonly performed but still one of the trickiest to interpret

The atlanto-axial ... joint and the atlanto-occipital

Seesaw Nystagmus on Physical Exam

Ocular examination revealed rhythmic, torsional, and vertical movement in which the eye

other eye moved down ... PhysicalExam #Clinical #Video

Posteromedial Instability on Knee Exam
This is what a knee with posteromedial instability looks like. Notice the

graft in the femur down ... MSK #clinical #video

Lincoln Sign in Aortic Regurgitation

Lincoln sign in AR, elevated foot bobs up and down with each

foot bobs up and down ... #PhysicalExam #Video

Drop Arm Test - Supraspinatus Tear

The drop arm test evaluates for a supraspinatus muscle tear.
Passively adduct

point the thumbs down ... PhysicalExam #clinical #video

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