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The Golden Gate Bridge is presented as a visual metaphor for different constructs of frailty
#Geriatrics #Frailty
for different constructs ... Frailty #Bridge #Construct
Fracture naming construct #EM #Ortho #Fracture #Naming
Fracture naming construct
Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect.

http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685

Normal
pupils should constrict ... pupils should constrict ... Both pupils constrict
CRIES is a 10-point scale, using a physiologic basis similar to APGAR: Crying; Requires increased oxygen
to be a useful construct
Paradoxical Breathing on Physical Exam

Paradoxical breathing is often a sign of breathing problems. It causes the
causes the chest to contract
Hippus is the normal rhythmic fluctuations of the pupil as the pupil dilates and constricts. Testing
pupil dilates and constricts
Paradoxical Respirations in Diaphragmatic Paralysis

Note the paradoxical movement of the abdomen during inspiration. The accessory inspiratory
inspiratory muscles contract
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
the pupil still constricts ... affected eye will constrict
Cremasteric Reflex

The cremasteric reflex is elicited by stroking the inner part of the thigh, causing the
cremaster muscle to contract
Wolff–Parkinson–White syndrome (WPW) is one of several disorders of the electrical system of the heart that
ventricles to contract