1009 results
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... Cogan’s) One and a Half ... one side and an internuclear ... diagnosed with MS ... OneAndAHalf #One #Half
Abnormal Simmonds-Thompson Test (Positive) for Achilles Tendon Rupture

In this positive Simmonds-Thompson test, there is no plantar
squeezing the calf ... #PhysicalExam #Calf ... #Sports #msk #ankle
Nail Disorders secondary to Systemic Diseases
Nail Fold Abnormality
 • SLE
 • Scleroderma
 • Dermatomyositis
Koilonychia - Spoon-shaped
to transiently halt ... Diabetes Mellitus Half-and-Half
Wall-eyed bilateral inter nuclear ophthalmoplegia (WEBINO) Syndrome

In this specific case, the lesion is bilaterally in the
Walleyed #bilateral #internuclear
Cubital Tunnel Syndrome: Pathogenesis and clinical findings

 • Paresthesia of 5th and medial half of 4th
5th and medial half ... signs #symptoms #msk
One-and-a-Half Syndrome
1 - One eye cannot move AT ALL horizontally
1/2 - The other eye can only
One-and-a-Half Syndrome ... abduct (can do only half ... OneAndAHalf #One #Half
Normal Simmonds-Thompson Test (Negative) for Achilles Tendon Rupture

In this normal Simmonds-Thompson test, plantar flexion of the
squeezing the calf ... #PhysicalExam #Calf ... #Sports #msk #orthopedics
SARS-CoV-2 Estimated Aerosol and Surface Viability:
 - Aerosols: ≈3hrs post aerosolization (median half-life: 1.2 – 1.2hrs)
aerosolization (median half-life ... 2 – 3d (median half-life ... 2 – 3d (median half-life
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Multiple Sclerosis (MS ... nearly 3:1 • MS ... syndromes such as internuclear ... Fulminant Forms of MS ... Lhermitte’s sign • Internuclear
Trichodysplasia spinulosa: follicles plugged w/ hyperkeratotic & parakeratotic debris, excessive inner root sheath differentiation towards keratinization.
EM shows intranuclear