95 results
Telescoping Fingers on Physical Exam

A 69-year-old woman with rheumatoid arthritis presented for the treatment of severe
Telescoping Fingers ... presented for the treatment ... #Telescoping #Fingers ... #PhysicalExam # ... Clinical #Video #Rheumatology
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
Corticosteroid Injection ... Corticosteroid #Injection ... clinical #video #physicalexam ... #orthopedics #sports ... #rheumatology
Characteristic clinical manifestations of Down syndrome 
 
Typical craniofacial appearance 
 • Round face and flat
• Brushfield spots ... iris (pigmented spots ... incurved fifth finger ... susceptibility to infections ... Downs #Syndrome #PhysicalExam
Treatment of Thrombotic Thrombocytopenic Purpura (TTP)
Diagnosis of TTP:
 • Rare and severe, ADAMTS13 deficiency
 • Autoimmune
Purpura (TTP) Diagnosis ... soon as TTP is diagnosed ... PLEX and RTX • Short-term ... #rheumatology # ... hematology
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm

Peripheral Smear concerning for malignancy?
- Differential Diagnosis ... → Refer to hematology ... Rebound effect from treatment ... Inflammatory Conditions: Rheumatologic ... #Differential #Diagnosis
Myelodysplastic Syndrome (MD) - Diagnosis and Management Summary
myelo (marrow) -dys- (abnormal) -plastic (shape) = funny-shaped cells
Syndrome (MD) - Diagnosis ... risk-stratification • Risks: infection ... only curative treatment ... #Management #treatment ... #hematology #oncology
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
pulp space of the finger ... nonuniform white spots ... Spots in the pattern ... Abnormal #Pathology #Diagnosis ... Clinical #Signs #PhysicalExam
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
pulmonary symptoms • Rheumatologic ... Histoplasmosis Diagnosis ... Inhalation of spores ... A. flavus, A. niger ... scalp, vagina, fingers
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
the most tender spot ... Deeper injection ... lasts longer. ... video #procedure #rheumatology ... #sports #msk #orthopedics
Aplastic Anemia - Illness Script
Signs and symptoms:
 • Recurrent infections from neutropenia
 • Mucosal bleeding from
: • Recurrent infections ... Symptomatic anemia Diagnosis ... megaloblastic anemia Treatment ... #management #treatment ... #hematology