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Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder

Direct palpation ... Diagnosis #Algorithm #MSK

Thyroid Goiter on Physical Exam - Likelihood Ratios by Finding
• No goiter by palpation or

• No goiter by palpation ... 0.4 • Goiter by palpation ... Significant • Goiter by palpation

Figure 2. The “laryngeal handshake,” from left to right: 1) hyoid, 2) thyroid, 3) cricoid, and

cricoid, and 4) palpation ... Cricothyrotomy #Palpation

This is what a shoulder dislocation looks like on US before and after reduction. Focus on

Focus on the joint ... EM_RESUS #Clinical #POCUS ... #MSK #Shoulder

Jugular Venous vs Carotid Arterial Pulsations on Physical Exam

Jugular Venous Pulsations
• Well appreciated by inspection than

inspection than palpation ... appreciated by palpation

How to Use Point-of-Care Ultrasound to Identify Shoulder Dislocation #Clinical #Diagnosis #POCUS #MSK #POCUS #Shoulder #Dislocation

Clinical #Diagnosis #POCUS ... #MSK #POCUS #Shoulder

Shoulder Examination

Step 1 Inspection
Step 2 Palpation (ABCs)
Step 3 Range of Motion and Strength (SITS)
Step 4 Provocative

Inspection Step 2 Palpation

POCUS Reference Measurements
• Gallbladder
• Urinary Bladder
• GI Tract
• Pregnancy
• Optic Nerve

POCUS Reference ... Optic Nerve • MSK ... sspillai01 #POCUS

$5th metatarsal distal shaft fracture - Fracture detection on MSK ultrasound The Ultrasound Site - MSK ultrasound$

Fracture detection on MSK ... Ultrasound Site - MSK ... shaft #fracture #MSK ... #POCUS #Ultrasound

Quincke's sign with flashlight - rhythmic pulsation of the ointment bed, especially when slightly compressing the

flashlight - rhythmic pulsation ... #PhysicalExam #Pulsation

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