11 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... onto outstretched hand ... dorsum of the hand ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
in the lunate ("tea ... no longer sitting ... onto outstretched hand ... #XRay #Diagnosis ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... onto outstretched hand ... #Radiology #XRay ... #Sports #MSK
Positive Hoffmann's sign (finger flexor reflex)

Flexion and adduction of the thumb and flexion of the index
Positive Hoffmann's sign ... #Hoffmanns #sign ... #physicalexam #msk ... #orthopedics #neurology ... #sports
Wartenberg Sign in Ulnar Neuropathy

Abnormal abductor the fifth finger due to ulnar neuropathy ( weakness of
Wartenberg Sign ... #Wartenberg #Sign ... Ulnar #Neuropathy #hand ... #physicalexam #neurology ... #msk #sports #orthopedics
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
onto outstretched hand ... can't make A-OK sign ... Complex, pending orthopedic ... Posterior #Radiology #XRay ... #Sports #MSK
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
normally elicits elbow ... extension and wrist ... consisting of finger ... #Test #Reflex #neurology ... #msk #sports #IRR
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
ankles, knees, fingers ... , wrist, elbow ... Tophi on extensor elbows ... double contour sign ... +Radiographic signs
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Examine for signs ... If ok with ICU team ... flexed at the elbow ... #PhysicalExam #neurology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... purpura: Strong sign ... affects the skin, neurologic ... cognitive impairment, neurologic ... gray matter changes