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Multiple Myeloma Diagnosis and Management Summary Clinical Signs: • hyperCalcemia 28% (bone demineralization) • Renal disease 48%
Diagnosis and Management ... hyperCalcemia 28% (bone ... • Anemia 78% (bone ... macrocytic • Bone ... Myeloma #Diagnosis #Management
Representative X-ray appearance of a primary malignant bone tumor - Ewings Sarcoma • "Interrupted periosteal reaction
primary malignant bone ... Moth-eaten", permeative bone ... destruction • Wide zone ... transition between bone ... accumulation around the bone
Management of Pediatric Kidney Stones Acute Managment: • Pain relief: NSAIDs, opioids • Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute Managment ... • Try retrieve stone ... Stent: < 2 cm stone ... Kidney #Stones #Management
Hypocalcemia - Diagnosis and Management PTH Independent (↑ PTH) • LOW VIT D -
Diagnosis and Management ... - Accelerated Bone ... Formation: Hungy Bone ... Hypocalcemia #Diagnosis #Management
Uterotonic Medications - Should be given concomitantly with uterine massage - Multiple medication options which
uterine muscle tone ... #Management #
Myotomes of the Spinal Cord Each segmental nerve root innervates more than one muscle. For simplicity, certain
innervates more than one ... anal sphincter tone
Malignant Bone Tumors: Pathogenesis of X-ray appearance • Metastatic bone tumors (aka. cancerous cells from systemic
Malignant Bone Tumors ... • Metastatic bone ... metastasized to the bone ... • Metastatic bone ... prostate cancer bone
Spinal Cord Injury by Nerve Root Levels Spinal Root Sensory Motor Reflex C4 Acromioclavicular Joint Respiration None C5 Radial Antecubital Fossa Elbow Flexion Biceps Reflex C6 Dorsal Thumb Wrist Extension Brachioradialis Reflex C7 Dorsal
Joint Respiration None ... Finger Flexion None ... Finger Abduction None ... Knee Extension None ... Anal Sphincter None
Ankle Clonus on Physical Exam Turns out to be refractory status due to vertebrobasilar thrombosis... Only one
Only one other case ... #PhysicalExam #Video
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 Toenail Clubbing on Physical Exam #Toenail #Toe #Nail #Clubbing #PhysicalExam #clinical #video
Exam #Toenail #Toe ... PhysicalExam #clinical #video
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