1944 results
CREST Syndrome: Pathogenesis and Clinical Findings

CALCINOSIS (BB-sized, hard nodules in fingers)
RAYNAUD'S Phenomenon
ESOPHAGEAL DYSMOTILITY
SCLERODACTYLY (thickening and tightening
skin distal to MCPs ... & MTPs) TELANGIECTASIA ... hands distal to MCPs ... feet distal to MTPs
Pivot-Shift Test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic
#Pivot #Shift #PivotShift ... clinical #video #PhysicalExam
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Extend finger at MCP ... at PIP 2) Flex MCP ... is limited in MCP ... tight PIPJ in MCP ... BunnelLittler #Test #PhysicalExam
Ultimate Insulin Comparison Table - via tldrpharmacy

Formulations, Onset, Peak, Duration, and Storage

By J. Nile Barnes, PharmD,
Barnes, PharmD, BCPS
Trousseau's Sign of Hypocalcemia on Physical Exam

Carpopedal spasm caused by ischemia induced by an inflated blood
wrist, thumb, and MCP ... Trousseaus #Sign #PhysicalExam
Guide to systemic mastocytosis

Criteria for diagnosis: at least 1 major and 1 minor or 3 minor
infiltrates of MC (2 15 MCs ... • >25% of all MCs ... codon 816 • MCs ... mediator release • MCs
Stepwise Approach to Prescription of SGLT2 inhibitors 

Anticipatory Guidance 
• Consider diuretic dose reduction 
Patient Counseling
providers, including PCPs
Gout of Left MCP Joints: Diffuse redness and swelling over MCP joints caused by inflammation induced
by
Gout of Left MCP ... swelling over MCP ... #Flare #Hand #MCPs
Normal (Negative) Pivot-Shift Test for ACL Knee Injury

Andrew Dold, MD @dr.dold.md

#Pivot #Shift #PivotShift #test #ACL #Knee
#Pivot #Shift #PivotShift ... clinical #video #PhysicalExam
A rhabdomyolysis framework inspired/adapted from an @NEJM CPS and @UpToDate.

- Traumatic
- Non-Traumatic Exertional
- Non-Traumatic, Non-Exertional
 
#rhabdomyolysis
from an @NEJM CPS