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Characteristic clinical manifestations of Down syndrome

Typical craniofacial appearance
• Round face and flat

manifestations of Down ... Small mouth and protruding ... #Downs #Syndrome

Jugular Venous Distension on Physical Exam - Sitting Down (90°) vs Supine (45°)

Dr. Eduardo R

Exam - Sitting Down ... PhysicalExam #clinical #video

Seesaw nystagmus
-> eye move in an opposed vertical fashion (one goes up while the other

the other goes down ... intorts, eye moving down ... the other moves down ... Video by Kathleen ... ophthalmology #clinical #video

Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”. 55 year old

Thrombus protruding

Colonoscopy showing a protruding vessel with active bleeding and normal surrounding mucosa suggestive of Dieulafoy's lesion.

#clinical

Colonoscopy showing a protruding

M (Mallampati Score): essentially giving you an external assessment tool about the patient’s ability to open

possible, and tongue protruding

Lincoln Sign in Aortic Regurgitation

Lincoln sign in AR, elevated foot bobs up and down with each

foot bobs up and down ... #PhysicalExam #Video

Posteromedial Instability on Knee Exam
This is what a knee with posteromedial instability looks like. Notice the

graft in the femur down ... MSK #clinical #video

Seesaw Nystagmus on Physical Exam

Ocular examination revealed rhythmic, torsional, and vertical movement in which the eye

other eye moved down ... PhysicalExam #Clinical #Video

Drop Arm Test - Supraspinatus Tear

The drop arm test evaluates for a supraspinatus muscle tear.
Passively adduct

point the thumbs down ... PhysicalExam #clinical #video

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