117 results
Gerstmann Syndrome
1) Finger agnosia - Inability to name their own fingers, affecting both sides
2) Right-left confusion
Gerstmann Syndrome 1) Finger ... name their own fingers ... differentiate right and ... Causes: Stroke (main ... Gerstmann #Syndrome #neurology
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
Fractures • Finger ... Small muscles of hand ... (finger abduction ... adduction) OK Sign - AIN ... UpperExtremities #diagnosis #neurology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Exam: Swollen and ... fracture • ED Management ... : Pain control, ... XRay #Diagnosis #Management ... #Hand #Orthopedics
Mechanisms of Pain
Mixed - Nociceptive/Neuropathic
Nociceptive - Tissue Damage
 - Visceral - (From organ/cavity lining) Poorly localized,
Mechanisms of Pain ... Well-localized, sharp, short ... well-localized, dull, longer ... Complex regional pain ... #Mechanisms #Neurology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
no longer sitting ... dorsal wrist, pain ... injury • ED Management ... : Pain control, ... #Orthopedics #Sports
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
• Weakness: Starts ... Paresthesias: Hands ... or feet • Pain ... Syndrome #diagnosis #management ... #treatment #neurology
Fine Ventricular Fibrillation on POCUS Echocardiogram (S4C) with Saline Contrast
POCUS may help you to spot fine
Fine Ventricular ... Fibrillation on POCUS ... may help you to spot ... fine VF quicker ... (and that is just
Positive Hoffmann's sign (finger flexor reflex)

Flexion and adduction of the thumb and flexion of the index
Hoffmann's sign (finger ... Hoffmanns #sign #finger ... reflex #clinical #hand ... #orthopedics #neurology ... #sports
Hoffmann's sign was originally described as follows: the test is performed by supporting the patient's hand
the patient's hand ... the fingers are ... The middle finger ... point of causing pain ... PhysicalExam #Neurology
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
fingertip) • Exam: Pain ... tendon) • ED Management ... reduction • Splint: Finger ... XRay #Diagnosis #Management ... #Hand #Orthopedics