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Characteristic clinical manifestations of Down syndrome 
 
Typical craniofacial appearance 
 • Round face and flat
• Brushfield spots ... iris (pigmented spots ... incurved fifth finger ... • Hirschsprung disease ... PhysicalExam #Features #Signs
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
fracture • ED Management ... Discharge with orthpedic ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
• Colles (90% "dinner ... injury) • ED Management ... reduction using finger ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Rotator Cuff Syndrome - SITS
Supraspinatus, Infraspinatus, Teres minor, and Subscapularis.
Causes: Calcific supraspinatus tendinitis 
Signs: painful abduction
supraspinatus tendinitis Signs ... Cuff #Syndrome #orthopedics ... #diagnosis #sports
Physical exam teaching on clubbing and Schamroth’s sign: Clubbing is the proliferation of connective tissue between
and Schamroth’s sign ... underlying respiratory disease ... obliteration in clubbed fingers ... when opposite fingers ... #PhysicalExam #Diagnosis
Cutaneous and Systemic Findings in Dermatomyositis
Cutaneous Findings:
 - Heliotrope sign and edema
 - Nail-fold changes
 -
or shawl sign ... Interstitial lung disease ... tract - Cardiac disease ... Dermatomyositis #Diagnosis ... #Rheumatology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Rheumatoid Arthritis Summary
MCP and PIP Involvement, Spares DIP, Carpal Tunnel, Sicca Syndrome, Epi/Scleritis, Heart Disease, Rheumatoid
PIP Involvement, Spares ... Scleritis, Heart Disease ... Arthritis #RA #diagnosis ... #rheumatology # ... signs #symptoms
Positive Hoffmann's sign (finger flexor reflex)

Flexion and adduction of the thumb and flexion of the index
Positive Hoffmann's sign ... (finger flexor ... #Hoffmanns #sign ... physicalexam #msk #orthopedics ... #neurology #sports
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... to diagnosis scapholunate ... ("Terry Thomas sign ... #Management #Orthopedics ... #Sports #MSK