17 results
Positive Hoffmann's sign (finger flexor reflex)

Flexion and adduction of the thumb and flexion of the index
Hoffmann's sign (finger ... flexion of the index finger ... Hoffmanns #sign #finger ... physicalexam #msk #orthopedics ... #neurology #sports
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... injury • ED Management ... Disposition: Pending orthopedic ... XRay #Diagnosis #Management ... #Orthopedics #Sports
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
In short, best outcomes ... The longer the seizure ... #Management #Neurology ... #CriticalCare #
Wartenberg Sign in Ulnar Neuropathy

Abnormal abductor the fifth finger due to ulnar neuropathy ( weakness of
abductor the fifth finger ... #hand #pinky #finger ... #physicalexam #neurology ... #msk #sports #orthopedics
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Pain, Agitation, ... No pharmacologic ... (Haldol) - No pharmacologic ... Delirium #PAD #ICU #CriticalCare ... #diagnosis #management
Gamma hydroxybutyrate (GHB) - Toxicology

Clinical presentation
 - Symptoms of GHB toxicity include: short term anterograde amnesia,
toxicity include: short ... symptoms can include agitation ... Toxicity #Diagnosis #Management ... #Pharmacology
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
sleeping, administer pharmacologic ... severe nocturnal agitation ... Delirium #Checklist #Management ... Treatment #MICU #CriticalCare
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
valve & viral filter ... on exhalation port ... system & viral filter ... Checklist #SARSCoV2 #Management ... #CriticalCare #
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Management Algorithm ... Electrocardiogram • Finger ... StatusEpilepticus #Management ... #Algorithm #Neurology ... #pharmacology #
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
wrist dorsiflexion/finger ... #physicalexam #sports ... #msk #orthopedics ... #neurology #ULNT