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diagnosis clinical cushings differential management orthopedics rheumatology autoimmune boxers buffalohump dermatology elbow endocrinology fingernails humerus hypercortisolism infection lymphocutaneous metacarpal moonfacies
What is a Boxer’s fracture?? Fracture of the 4th or 5th metacarpal neck - Common in
falls onto the hand ... Always check for skin ... – compartment syndrome ... Overlying wounds or signs ... #Hand #Metacarpal
Cushing's Syndrome - Moon Facies, Buffalo Hump, Abdominal Striae, Thin Skin A young man presents with rapid
Cushing's Syndrome ... Abdominal Striae, Thin Skin ... What findings are ... the patient's hand ... #Signs #MoonFacies
Supracondylar Elbow Fracture • Most common elbow fracture in children, peak age 5-7 • When looking at
anterior sail sign ... onto outstretched hand ... can't make A-OK sign ... ), compartment syndrome ... Posterior long arm
Lymphocutaneous Sporotrichiosis Infection Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis? Lymphocutaneous
nodular rash of arm ... trauma leads to skin ... painless, no systemic signs ... Infection #clinical #photo ... #hand
Secondary Syphilis Rash Secondary syphilis is the most contagious of all the stages of this disease, and
Skin rash and malaise ... The signs and symptoms ... the palms of the hands ... faint that they are ... Diagnosis #Clinical #Photo
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
Cushing's Syndrome ... easily bruisable skin ... , pathological fractures ... #Cushings #Syndrome ... Hypercortisolism #Diagnosis #signs
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... loss, arthralgia, arm ... bruits, asymmetric arm ... occasional oligoclonal bands ... vasculitis • Cogan syndrome
Terry's Nails Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
in addition to signs ... skin stretch marks ... such as nephrotic syndrome ... #Fingernails #Hands ... PhysicalExam #Clinical #Photo
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
) • Anti-Mi2 (skin ... Gottron sign) ... • Shawl sign • ... kinase levels are ... • Mechanic's hands
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