10 results
What is a Boxer’s fracture?? Fracture of the 4th or 5th metacarpal neck
 - Common in
What is a Boxer’ ... Symptoms/exam ... concerning for Boxer ... Management: - ... #Diagnosis #Management
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
Boxer's Fracture ... surface • Exam ... "fight bite", Keflex ... MetroHealth_EM #Boxers ... #Hand #Orthopedics
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
sign on Physical Exam ... the ankle jerk reflex ... a deep-tendon reflex ... Hypothyroidism #Ankle #Reflexes ... Video #Neurology #Endocrinology
Myoedema in Hypothyroidism on Physical Exam

Hypothyroidism is a clinical syndrome resulting from the production, secretion or
Hypothyroidism on Physical Exam ... skin, myopathy and ... abolished tendon reflexes ... percussion by the reflex ... video #neurology #endocrinology
Stepwise Approach to Prescription of SGLT2 inhibitors 

Anticipatory Guidance 
• Consider diuretic dose reduction 
Patient Counseling
• Regular foot exams ... including PCPs and ... Prescribing #Monitoring #Management ... #Endocrinology
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
between all carpal bones ... onto outstretched hand ... • Exam: Tenderness ... dislocation • ED Management ... XRay #Diagnosis #Management
DPP4 Inhibitors - Normal and Renal Dosing

Increase Incretins (GLP-I & GIP) -> Stimulates Insulin, Inhibits Glucagon
Inhibitors - Normal and ... Inhibits Glucagon -> Lowers ... highest dose, and ... #Pharmacology #Management ... Diabetes #DM2 #Endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Management Summary ... disease (rare), and ... Exam Findings: ... Secondary #Diagnosis #Management ... #Endocrinology
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
is exitotoxic and ... nervous system and ... Increased Jaw Jerk reflex ... Exam: clinical evidence ... neurology #diagnosis #management
The algorithm below shows how pre-test probability could be combined with various criteria to determine which
negative Reller ... of HSV (~0.5%) and ... is nephrotoxic and ... lowers the seizure ... is proposed: #Management