11 results
Cutaneous and Systemic Findings in Dermatomyositis
Cutaneous Findings:
 - Heliotrope sign and edema
 - Nail-fold changes
 -
- Heliotrope sign ... Poikiloderma and V-neck sign ... or shawl sign ... - Gottron's sign ... scale - Holster sign
Bell's Phenomenon on Physical Exam

Carles Bell realized that when trying to close the eye on the
Bell's Phenomenon ... neurologiabr #Bells ... #Phenomenon #Sign ... #clinical #video ... ophthalmology #neurology
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
chest (in a V-sign ... shoulders (in a shawl sign ... Inverse Gottron’s sign ... anti-NXP2 Abs Lung ... #rheumatology #
Bell's Sign on Physical Exam

The clinical sign resulting from functional insufficiency of the eyelid orbicularis was
Bell's Sign on Physical ... The clinical sign ... sign. ... This semiological sign ... #Sign #Eyelids
Bell's Phenomenon

Sign of peripheral facial paralysis manifested by eye movement up and out of the eyeball,
Bell's Phenomenon ... Sign of peripheral ... the eyelid #Bells ... Phenomenon #clinical #video ... #physicalexam #neurology
TIE Fighter Sign on POCUS - Uterus floating in pelvic ascites
Not uncommon during nephrology rounds in
TIE Fighter Sign ... uncommon during nephrology ... Note in long axis ... #TIEFighter #Sign ... clinical #ascites #pelvis
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
chest (in a V-sign ... shoulders (in a shawl sign ... Non-small-cell lung ... #diagnosis #management ... #rheumatology #
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... systemic sx + signs ... them, but urgent rheumatology ... GCA #Temporal #Signs ... Symptoms #Diagnosis #Management
Lazarus Reflex on Physical Exam

The Lazarus sign is a reflex movement observed in brain-dead or brainstem
The Lazarus sign ... Long-term survival ... with the Lazarus sign ... PhysicalExam #clinical #video ... #neurology #criticalcare
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
RP-ILD), dermato-rheumatologic ... papules and Gottron sign ... ) • Shawl sign ... • Interstitial lung ... Myositis #Myopathy #rheumatology