2002 results
Gangrenous Frostbite Hand Injury on Physical Exam

Mountain climber Fahad Badar experienced frostbite during an expedition to
Physical Exam Mountain ... to Broad Peak mountain ... Gangrene #Dry #PhysicalExam
Facial Swelling - Differential Diagnosis Framework for Facial Edema

Infectious:
	• Dental abscess
	• Ludwig's angina
	• Vincent's angina
	• Cellulitis
	•
states • Acute mountain ... Differential #Diagnosis #PhysicalExam
Acute Mountain Sickness 
Low partial pressure of oxygen at high altitude 
• Stop ascent 
• Supportive
Acute Mountain Sickness ... • Descent #Mountain
Tick Borne Illnesses
 • Lyme (Borrelia)
 • Babesiosis (Babesia)
 • Human Monocytic Ehrlichiosis (Ehrlichia)
 • Human
Anaplasma) • Rocky Mountain
Pronator Drift (Pyramidal Drift) on Physical Exam

Testing showed pronator drift on the left side in this
proprioception alone to maintain ... Drift #Pyramidal #PhysicalExam
Asterixis on Physical Exam

Asterixis, aka liver flap, indicates at least Grade 2 hepatic encephalopathy in a
Hypotonia - cannot maintain ... drkeithsiau #Asterixis #PhysicalExam
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
fevers, Rocky Mountain
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
more relevant Maintain ... - Efforts to maintain
Algorithm for management of Multiple Trauma in Mountain Environment
Complete primary survey
 - Haemorrhage control (regional and
Multiple Trauma in Mountain ... Multiple #Trauma #Mountain
Milkmaid’s Grip of Chorea on Physical Exam
Milk maids grip is appreciated as an alternating squeezing and
when asked to maintain ... #Chorea #sign #PhysicalExam