36 results
Pediatric Primitive Reflexes - Maneuver and Ages

Palmar Grasp Reflex
 - Place your fingers into the baby's
into the baby's hands ... all fingers to ... grasp your fingers ... Peds #Diagnosis #Neurology ... GrepMed Recommended Text
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... passively flex finger ... at PIP 2) Flex ... BunnelLittler #Test ... clinical #video #msk
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
PIP joints are ... and PIP joints ... joint hinge joint ... joint = hinge joint ... #Orthopedics #MSK
Drop Arm Test - Supraspinatus Tear

The drop arm test evaluates for a supraspinatus muscle tear.
Passively adduct
Drop Arm Test - ... to 90 degrees, flex ... to 30 degrees, and ... point the thumbs ... video #sports #msk
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Inflammatory - AM ... stiffness, warm ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology #
Flexor Digitorum Profundus Test

Isolate the distal interphalangeal joint over the edge of the table and observe
interphalangeal joint ... Inability to flex ... at the DIP may ... #Jersey #Finger ... video #sports #msk
Hoffmann's sign was originally described as follows: the test is performed by supporting the patient's hand
as follows: the test ... the fingers are ... force, even to the point ... PhysicalExam #Neurology ... #Reflex
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... looks red -> Warm ... motion (relieved by rest ... affects the knee hip ... Comparison #Versus #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... -60 minutes or longer ... improves quickly with rest ... e.g., congenital hip ... #Pain #MSK #rheumatology
Trousseau's Sign in Hypocalcemia

Trousseau sign of latent tetany is a medical sign observed in patients with
placed around the arm ... muscles of the hand ... joints flex, the ... DIP and PIP joints ... fingers adduct.