10 results
Diffuse Systemic Sclerosis (Scleroderma)
 - Pulmonary Fibrosis -> Crackles, Abnormal CXR
 - Pulmonary Hypertension, Right Heart
Diffuse Systemic ... ) - Finger/hand ... /elbow contractures ... pathophysiology #signs ... #symptoms #diagnosis
Systemic Sclerosis (Scleroderma)
Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs
3
thickening, distal to elbows ... • Diffuse systemic ... proximally to arms ... Scleroderma #SSc #rheumatology ... #diagnosis #signs
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
- C6, C7, C8 Elbow ... , C8 (radial) Finger ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gouty Arthritis) - MSK ... These are CLASSIC ... NO prior signs ... diffuse chondral ... #msk #rheumatology
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
ankles, knees, fingers ... , wrist, elbow ... double contour sign ... +Radiographic signs ... management #treatment #rheumatology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
proximal weakness, arms ... myasthenia Diagnosis ... test - Cogan sign ... - Peek sign ... #management #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
counting fingers ... the hospital, diagnosed ... with MS, and started ... Half #Syndrome #PhysicalExam ... ophthalmology #neurology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... purpura: Strong sign ... affects the skin, neurologic ... cognitive impairment, neurologic ... #Rheumatology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Examine for signs ... flexed at the elbow ... caseyalbin #PhysicalExam ... #neurology #comatose
Extensor Carpi Ulnaris (ECU) subluxation 
The Extensor Carpi Ulnaris (ECU), is the must ulnar of the
extends from the elbow ... little, or pinky, finger ... ECU Subluxation diagnosed ... subluxation #clinical #physicalexam ... Orthopedics #Wrist #msk