17 results
Myotonic Dystrophy
Typically presents in middle age with weakness of hands, legs and neck.
 - Mental deficiency
with weakness of hands ... Sternocleidomastoid, Shoulder ... Myotonia occurs - inability ... to relax muscles ... Dystrophy #Myotonia #Diagnosis
Metformin Associated Lactic Acidosis (MALA) 

Pathophysiology of MALA
 - Metformin interferes with the activity of the
anaerobic metabolism Diagnosis ... acute kidney injury ... - hemodynamic instability ... Toxicity #Toxicology #Diagnosis ... #Management
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
- Differential Diagnosis ... Framework and Management ... : 1) PADS ON!! ... Depending on degree of instability ... #Differential #Diagnosis
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
: Hyperflexion injury ... flexion due to inability ... fracture • ED Management ... Radiology #XRay #Diagnosis ... #Management #Hand
Thompson's Test for Achilles Tendon Injury

In a prone position, Achilles tendon stability can be assessed using
Achilles Tendon Injury ... Achilles tendon stability ... Flex the knee to ... squeeze the calf and ... Video via @open_michigan
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
(by acid reflux ... promote esophageal reflux ... retrosternal chest pain Diagnosis ... Esophageal #Necrosis #diagnosis ... #management #gastroenterology
Orthopedic Dislocations (Shoulder, Elbow and Hip) - Diagnosis and Management Summary
Shoulder Dislocation
 • Fall on the
- Diagnosis and ... Management Summary ... the out stretch hand ... of dash board injury ... Bigelow method: FLEX
Lift Off Test (Gerber's Test) - Subscapularis Shoulder Exam

The patient places the dorsum of their hand
Subscapularis Shoulder ... rotates at the shoulder ... The inability to ... subscapularis injury ... Gerbers #clinical #video
Lift Off Test (Gerber's Test) - Subscapularis Shoulder Exam

The patient places the dorsum of their hand
Subscapularis Shoulder ... rotates at the shoulder ... The inability to ... subscapularis injury ... Gerbers #clinical #video
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
affected part should ... after an acute injury ... • Diagnosis: ... reflex activity ... of spinal cord injury