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Infantile Spasms Associated with Tuberous Sclerosis 1) Flexor spasms: Sudden flexion of neck, trunk, arms, and
abdominal muscles 2) Extensor ... spasms: Abrupt extension ... ) Mixed flexor-extensor ... and arms, and extension ... of the legs Clinical
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
lateral slips of the extensor ... phalanx to enable extension ... central slip of the extensor ... phalanx to enable extension ... central slip of the extensor
Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Mallet finger, the extension ... joint needs to be clinically ... of the terminal extensor ... immobilize • Splint: Extension
Anatomic Snuff Box • 3 'P' Muscles - Abductor Pollicis Longus, Extensor Pollicis Brevis, Extensor Pollicis
Pollicis Longus, Extensor ... Pollicis Brevis, Extensor
Common Hand Fractures on X-Ray Mallet finger - injury to the lateral extensor slips Boutonniere deformity - injury
to the lateral extensor ... central band of extensor
Approach to Gout Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals Treatment: • Weight loss, diet, d/c culprit
year 2) Gouty tophi
Inflammatory Joint Pain - Differential Diagnosis Algorithm Monoarticular • Gout (Podagra, Tophi) • Pseudogout • Early
Gout (Podagra, Tophi
Landau's Reaction (Reflex) on Physical Exam Landau's reaction is investigated holding the baby firmly under the
return to the extension ... three phases of extension ... First the neck extension ... then the trunk extension ... #PhysicalExam #clinical
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 Nuchal Rigidity in Infantile Bacterial Meningitis Flexion of the neck revealed nuchal rigidity. The patient was unable
hypertonic neck extensor ... #PhysicalExam #Clinical
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 Lymphangitis on the Abdomen - Examination revealed a warm, indurated plaque with extension toward her left
indurated plaque with extension ... was noted, with extension ... #Clinical #Derm
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