70 results
Shoulder Exam - Provocative Testing

Supraspinatus muscle injury:
 - Jobe’s Test
 - Hawkin’s Test
 - Drop Arm
injury: - Jobe’s Test ... - Hawkin’s Test ... - Drop Arm Test ... Rotator cuff subacromial ... - O’Brien Test
Liver Function Test (LFTs) Elevation
AST - Cardiac and skeletal muscle, kidney, brain
ALT - More specific for
Liver Function Test ... Phosphatase, ALT ≥ 3x ULN ... Transaminase, ALP ≥ 2x ULN ... Value = (ALT / ULN ... ALT) / (ALP / ULN
Shoulder Impingement Syndrome (SIS): Signs and Symptoms

Repetitive Overhead Activity, Scapular Dyskinesis -> Scapulohumeral mechanics become altered
> Narrowing of subacromial ... Impingement of subacromial ... + Painful arc test ... pain + Hawkin's test
Subacromial Bursitis on POCUS

Chronic shoulder pain -> #POCUS shows fluid in subacromial bursa, Dx subacromial bursitis
Very
Subacromial Bursitis ... shows fluid in subacromial ... bursa, Dx subacromial ... Global Ultrasound ... shoulder #MSK #Ultrasound
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Liver Function Tests ... Severe - ALT >15X ULN ... Moderate - ALT 5-15X ULN ... Mild - ALT < 5x ULN
Synovial Fluid Analysis:

Findings (COLOR	TRANSPARENCY	VISCOSITY	WBC COUNT (PER MM3)	PMN CELL COUNT (%)	GRAM STAIN	CULTURE	PCR TEST	CRYSTALS)

By Condition (Normal 
Noninflammatory 
Inflammatory:
COUNT (PER MM3) PMN ... STAIN CULTURE PCR TEST
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
liver function tests ... abnormal liver blood tests ... of liver blood tests ... of liver blood test ... mellitus; USS, ultrasound
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
disease - Renal ultrasound ... , Tests to evaluate ... Duplex Doppler ultrasound ... sodium loading test ... saline infusion test
Urination on Fetal Ultrasound

Lest we forget, here is a vivid reminder that amniotic fluid is predominantly
Urination on Fetal Ultrasound ... Lest we forget ... Urine #Urination #Ultrasound
POCUS Stewardship
Right Indication - Right Interpretation -Right Integration
Indication → Pre-test Probability → Spectrum of Disease →
Indication → Pre-test ... Step 2: Pre-test ... Develop a pre-test ... assign a final post-test ... #Stewardship #ultrasound