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Characteristic clinical manifestations of Down syndrome 
 
Typical craniofacial appearance 
 • Round face and flat
manifestations of Down syndrome ... • Brushfield spots ... incurved fifth finger ... #Downs #Syndrome ... #PhysicalExam #
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
Post-Intensive Care Syndrome ... IntensiveCare #Syndrome ... #PICS #diagnosis ... #management #criticalcare ... #icu
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Total scores >2 ... due to short half-life ... Propofol infusion syndrome ... #CriticalCare #diagnosis ... #management
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
carpal tunnel syndrome ... injury) • ED Management ... reduction using finger ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
, C8 (radial) Finger ... hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... sensory #motor #arm #physicalexam
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... • Weakness: Starts ... death Miller Fisher ... Guillain-Barre Diagnosis ... #diagnosis #management
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
nonuniform white spots ... Spots in the pattern ... seen in Reiter's syndrome ... Abnormal #Pathology #Diagnosis ... Clinical #Signs #PhysicalExam
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
Cardiopulmonary Syndrome ... +/- diarrhea Diagnosis ... • Supportive: ICU ... #Hantavirus #diagnosis ... #management #treatment
External Ventricular Drains (EVDs) & ICP waveform interpretation
An EVD is a temporary closed sterile system that
Drains (EVDs) & ICP ... of excess CSF, ICP ... SHORT-TERM PATTERNS ... CNS compliance LONGER ... #neurosurgery #diagnosis
Treatment of Thrombotic Thrombocytopenic Purpura (TTP)
Diagnosis of TTP:
 • Rare and severe, ADAMTS13 deficiency
 • Autoimmune
Purpura (TTP) Diagnosis ... admission to the ICU ... soon as TTP is diagnosed ... PLEX and RTX • Short-term ... Thrombocytopenic #Purpura #management