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A physical examination revealed an obvious deformity in the anterior mid-upper arm that became more pronounced
Clinical #Ortho #sports ... #PrimaryCare #Popeye ... #BicepsTendonRupture
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
Corticosteroid Injection ... Janet Pope @Janetbirdope ... Corticosteroid #Injection ... #orthopedics #sports
Characteristic clinical manifestations of Down syndrome 
 
Typical craniofacial appearance 
 • Round face and flat
manifestations of Down syndrome ... • Brushfield spots ... iris (pigmented spots ... susceptibility to infections ... #Downs #Syndrome
Lemierre’s Syndrome - Pathophysiology

Lemierre’s is an infectious thrombophlebitis of the internal jugular vein.

 - It starts
Lemierre’s Syndrome ... - It starts ... oropharyngeal infection ... deep space neck infection ... #Lemierres #Syndrome
Short Stature - Differential Diagnosis Algorithm
Normal Variant, Normal Puberty Onset (BA = CA)
 • Familial Short
Short Stature - ... 21 • Noonan Syndrome ... • Prader-Willi Syndrome ... • Turner Syndrome ... CRF) • Infection
Acute Retroviral Syndrome
Acute Retroviral Syndrome is the symptomatic presentation of acute human immunodeficiency virus infection

 •
Acute Retroviral Syndrome ... Acute Retroviral Syndrome ... mononucleosis/flu type of syndrome ... Acute Retroviral Syndrome ... Phase: • The short
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
associated with infection ... - Ramsay Hunt syndrome ... Temporomandibular joint syndrome ... Nerve V: • TMJ syndrome ... vision or black spots
High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK

Glycols - ethylene and propylene glycol
Oxoproline
associated with short ... bowel syndrome ... Methanol ingestion
Pustular Skin Lesions - Differential Diagnosis Framework

What are pustules?
• Pustules < 5-10 mm + pus
• Material
fungal, or viral infection ... Dermatophyte infection ... Mpox • Starts ... SAPHO syndrome ( ... Sweet syndrome
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Ischemia, Compartment Syndrome ... Localized soft-tissue infection ... Metabolism • Other: - Infections ... testing • Seen in Short ... Bowel Syndrome,