109 results
Positive Hoffmann’s Test (Finger Flexor Reflex) on Physical Examination

Indicates cervical spinal cord compression in this patient
Positive Hoffmann’s Test ... this patient s/p ACDF ... Hoffmanns #Reflex #test
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
Amsterdam Wrist ... likelihood of wrist ... a patient with wrist ... Increased Age, Wrist ... Painful balottement test
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral wrist ... swelling to dorsal wrist ... , pain with wrist ... repair MH/CCF ... #Dislocation #Wrist
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Cost - Cost per test ... etiology of syncope Tests ... Cardiac stress test ... Syncope #diagnosis #workup
Evaluating a Patient with Presumed Cushing Syndrome

#Cushings #Syndrome #Disease #Algorithm #Workup #Dexamethasone #Suppression #Test #diagnosis
Disease #Algorithm #Workup ... #Suppression #Test
Commonly Used Diagnostic Tests for Celiac Disease

Tissue transglutaminase (tTG) IgA antibodies
 - Most reliable noninvasive test
Used Diagnostic Tests ... reliable noninvasive test ... first-level screening test ... celiac disease - Test ... #Diagnosis #Workup
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Additional laboratory tests ... chronic kidney tests ... Test for celiac ... Gastrointestinal #Evaluation #workup
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Check pregnancy test ... affects diagnostic workup ... Diagnosis #Algorithm #Workup
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... 1 week MH/CCF ... Triquetrum #Fracture #Wrist
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... 1 week MH/CCF ... #TerryThomas #Wrist