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clinical ultrasound diagnosis echocardiogram cardiology signs abdominal lung msk pulmonary pathophysiology management effusion s4c transverse liver a4c hematology renal sagittal
Ossification of Carpal Bones It’s always tricky to remember the age of ossification of the carpal bones
Ossification of Carpal Bones ... of the carpal bones ... ossification of the bones ... at the carpal bones ... and finally the Pisiform
Symptoms of Hypophosphatemia • CNS: Seizures, Delirium, Paresthesias, Central & extrapontine myelinolysis, Hallucinations, Fatigue • Hematologic:
Symptoms of Hypophosphatemia ... Heart failure • Bones ... Growth retardation, Bone ... Hypophosphatemia #Phosphate #Symptoms
Age of Ossification of Carpal Bones Capitate - 1 Month Hamate - 2 Months Triquetral - 3 Years Lunate -
Ossification of Carpal Bones ... Trapezium - 6 Years Pisiform ... of the carpal bones ... #Age #Carpal #Bones
Most Common Carpal Bone Fractures by Frequency • Scaphoid - 50-80% • Triquetral - 5-20% •
Common Carpal Bone ... Hamate - 1-2% • Pisiform ... drdevrad #Carpal #Bone
Hyperparathyroidism - Primary vs Secondary vs Tertiary Lab Comparison: • Primary Hyperparathyroidism: ↑→PTH, ↑Calcium, ↑Vitamin D,
Phosphate Physical Symptoms ... signs, Fragile bones ... easily/weakness, Bone ... pain Psychiatric Symptoms
Gastroschisis on POCUS Common ED complaint--VB/OB. G1P0. No heart tones heard so POCUS done.
Gastroschisis on POCUS ... No heart tones heard ... so POCUS done. ... Always explain POCUS ... Robert Jones @RJonesSonoEM
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 Somatoform Disorders - Differential Diagnosis Algorithm - Patient presents with complex medical problem or symptoms that
medical problem or symptoms ... secondary gain Symptoms ... Anxiety Disorder - Focus ... Dysmorphic Disorder - Focus ... significant distress Focus
Stress Fracture: Pathogenesis and clinical findings Abnormal biomechanics, Repetitive impact activities => Repetitive subthreshold mechanical loading => Bone strain =>
mechanical loading => Bone ... strain => Bone ... pathophysiology #symptoms
Osteoporosis: Pathogenesis and risk factors • Age > 30 (post-peak bone mass) • Post-menopausal women ->
30 (post-peak bone ... Decr estrogen • Bone ... pathophysiology #signs #symptoms
Low Alkaline Phosphatase - Hypophosphatasia Is Low Alkaline Phosphatase Of Clinical Importance? ALP enzyme- Discovered in 1923 Low
synthesized in: liver, bone ... • softening of bones ... of feet, thigh bones ... : Inhibitor of bone ... mineralization Symptoms
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