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 ... aracteristic "claw hand ... 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
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
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
Extensor Carpi Ulnaris (ECU) subluxation 
The Extensor Carpi Ulnaris (ECU), is the must ulnar of the
extends from the elbow ... little, or pinky, finger ... diagnosed? ... subluxation #clinical #physicalexam ... Orthopedics #Wrist #msk