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Characteristic clinical manifestations of Down syndrome 
 
Typical craniofacial appearance 
 • Round face and flat
manifestations of Down syndrome ... • Brushfield spots ... iris (pigmented spots ... incurved fifth finger ... #Downs #Syndrome
Gerstmann Syndrome
1) Finger agnosia - Inability to name their own fingers, affecting both sides
2) Right-left confusion
Gerstmann Syndrome ... 1) Finger agnosia ... name their own fingers ... neudrawlogy #Gerstmann #Syndrome
Inherited Colorectal Cancer (CRS) Syndromes
Adenomatous Polyposis Syndromes:
 • Familial Adenomatous Polyposis (FAP), Attenuated FAP (AFAP), MUTYH
Colorectal Cancer (CRS) Syndromes ... Adenomatous Polyposis Syndromes ... Urinary → Lynch Syndrome ... Peutz-Jeghers Syndrome ... #diagnosis #management
Raynaud's Phenomenon on Physical Exam

#Raynauds #Syndrome #disease #phenomenon #clinical #video #physicalexam #fingers #hands #rheumatology
#Raynauds #Syndrome ... #physicalexam #fingers
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Wide (1) VT - DANGER ... B Afib + WPW - DANGER ... Vfib/flutter - DANGER ... (2) Sick Sinus Syndrome ... 120-200ms from longer
Rotator Cuff Syndrome - SITS
Supraspinatus, Infraspinatus, Teres minor, and Subscapularis.
Causes: Calcific supraspinatus tendinitis 
Signs: painful abduction
Rotator Cuff Syndrome ... Rotator #Cuff #Syndrome ... orthopedics #diagnosis #sports
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Mallet Finger Absence ... exclude Mallet finger ... • Finger deformity ... fracture • ED Management ... XRay #Diagnosis #Management
Predicting a Difficult Airway
Prior to attempting intubation one should assess the airway. 
3-3-2 rule indicates normal
- 3 finger breadths ... - 3 finger breadths ... - 2 finger breadths ... based on which parts
Skin Findings in Endocarditis - Skin findings include palpable petechiae, splinter hemorrhages (nail bed lesions), Janeway
painless, macular spots ... the pads of the finger
Raynaud's Syndrome - Washing off under hot water.
Raynaud phenomenon is an exaggerated vasoconstrictive response of the
Raynaud's Syndrome ... (e.g., in the fingers ... #Raynauds #Syndrome ... physicalexam #water #fingers