2041 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
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Transcellular Shift ... Transcellular shifts
Knee Examination
Right Knee - Examination maneuvers include the Lachman (ACL), anterior drawer (ACL), Lateral pivot shift,
Lateral pivot shift ... #Sports #Knee #PhysicalExam
Pivot-Shift Test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic
Pivot-Shift Test ... dr.dold.md #Pivot #Shift ... clinical #video #PhysicalExam
Oxyhemoglobin Dissociation Curve 

Left Shift - decreased unloading of O2 at tissue level (i.e.  increased
Curve Left Shift ... Hypophosphatæmia Right Shift ... #Left #Right #Shift
Oxygen-Hemoglobin Dissociation Curve

Left Shift (↓ O2 unloading to tissue), Left = Lower:
 • ↓ H+ (↑
Curve Left Shift ... Temperature Right Shift
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
4-6%), Humeral Shaft ... Extension of wrist & MCP
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
Causes of Hyperkalemia - Differential Diagnosis Algorithm
 • Increased Intake
 • Reduced Excretion (IV potassium with
Transcellular Shift
Ultimate Insulin Comparison Table - via tldrpharmacy

Formulations, Onset, Peak, Duration, and Storage

By J. Nile Barnes, PharmD,
Barnes, PharmD, BCPS