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clinical video orthopedics sports test knee shoulder injury sign ligament rheumatology syndrome tendon neurology anterior tear ankle hand hip dislocation
Cushing Syndrome - Likelihood Ratios of Physical Exam Findings Moon facies LR +1.6 Central obesity LR +3.0 Generalized obesity
Central obesity LR ... Thin skinfold LR ... 115.6 Plethora LR ... +NS Ecchymoses LR ... #Ratios #LRs #PhysicalExam
COPD Physical Exam Likelihood Ratios Barrel Chest - LR 1.5 Pursed Lip Breathing - LR 2.7 Reduced breath sounds
Barrel Chest - LR ... Lip Breathing - LR ... breath sounds - LR ... cardiac impulse - LR ... SatyaPatelMD #COPD #PhysicalExam
Physical Exam findings in Lower Extremity DVT - Likelihood Ratios - Asymmetric calf swelling, ≥2 cm
cm difference - LR ... venous dilation - LR ... of entire leg - LR ... skin warmth - LR ... Likelihood #Ratios #PhysicalExam
Thyroid Goiter on Physical Exam - Likelihood Ratios by Finding • No goiter by palpation or
or inspection - LR ... normal position - LR ... Thyroid #Goiter #PhysicalExam ... #diagnosis #LR
Physical Exam Findings Predicting Thyroid Carcinoma - Likelihood Ratios If goiter is present: • Cervical adenopathy -
Cervical adenopathy - LR ... surrounding tissues - LR ... cord paralysis - LR ... cord paralysis - LR ... Thyroid #Carcinoma #PhysicalExam
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
Lactated Ringers (LR ... Composition of LR ... Lactated Ringers (LR ... lactic acid • LR ... to endothelial glycocalyx
Chest Pain / ACS Evaluation Algorithm Algorithm that attempts to the use history taking (guided by LRs),
Ask about: - Changes ... Nausea/vomiting (+LR ... Diaphoresis (+LR ... neck or jaw (+LR ... to both arms (+LR
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios +LR > 3.5: • Overall judgement of ED physician
Likelihood Ratios +LR ... S3 • AFib -LR ... #heartfailure #physicalexam
Pronator Drift Testing for Stroke Subtle extensor weakness - Sign of Upper motor neuron lesion In detecting CT/MRI
Specificity 90% • LR ... + 9.2, LR- 0.09 ... Testing #Stroke #physicalexam
Hypovolemia on Physical Exam - Likelihood Ratios - Sunken eyes - Abnormal skin turgor (subclavicular area)
has the highest +LR ... show us that the LR ... #Hypovolemia #PhysicalExam
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