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Characteristic clinical manifestations of Down syndrome 
 
Typical craniofacial appearance 
 • Round face and flat
Characteristic clinical ... • Brushfield spots ... iris (pigmented spots ... anomalies • Short ... ) • Duodenal atresia
Insulin Comparison Chart

Insulin Types - Onset (hours) - Peak Glycemic Effect (hours) - Duration (hours)
 •
), Afrezza • Short-Acting ... Intermediate-Acting: Degludec (Tresiba ... Insulin #Comparison #Table
Esophageal Atresia and Tracheoesophageal Fistula- An infant had an apneic episode at birth and received positive-pressure
Esophageal Atresia ... The Apgar scores ... Esophageal atresia ... Esophageal atresia ... #NEJM #clinical
Nail diseases and disorders.
 - Spoon Nails (Koilonychia)
 - Pitting of Nails
 - Beau's Lines
 -
Leukonychia (white spots ... #Leukonychia #Table ... #Clinical #PhysicalExam
Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the
rises from the table ... rise from the table ... cruciate #ligament #clinical ... #physicalexam #sports
Junctional Rhythms - Junctional rhythm describes an abnormal heart rhythm resulting from impulses coming from a
junction" between atria ... Junctional #Rhythms #Table
Suggested diagnostic algorithm for neonate with suspected esophageal atresia +/- tracheoesophageal fistula.

Image Source: De Virgilio, C.,
suspected esophageal atresia ... : A case based clinical
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
pathway between the atria ... a delta wave, short ... 120 msec) 3 Short ... Electrocardiogram #Clinical
Calcium Channel Blocker Conversion Table

Nifedipine versus amlodipine - Nifedipine XL used only as the short acting
Blocker Conversion Table ... used only as the short ... CalciumChannelBlocker #Conversion #Table
Thomas' Test for Hip Flexure Contracture

Thomas' Test assesses for hip flexure contracture.
One hip is maximally flexed
rises off the table ... #PhysicalExam #clinical ... #video #sports