253 results
Bilateral LMN palsy with tongue weakness, wasting and fasciculations.  →  Bulbar motor Neuron disease

Note
Bilateral LMN palsy ... weakness, wasting and ... differentiates this from an UMN ... fasciculations #LMN ... CN12 #clinical #video
Liver Enzymes (LFTs) - Causes of Hepatocellular and Cholestatic Liver Injury
Hepatocellular Liver Injury
 • AST/ALT elevation
Liver Enzymes (LFTs ... Hepatocellular and ... skeletal muscle and ... value = (ALT + ULN ... phosphatase + ULN
Liver Function Test (LFTs) Elevation
AST - Cardiac and skeletal muscle, kidney, brain
ALT - More specific for
Liver Function Test ... AST - Cardiac and ... specific for the liver ... Value = (ALT / ULN ... SinaiBmoreIMRes #Liver
Oxygen Delivery by Device

Nasal Cannula 
• Indicated for low-flow, low-percentage supplemental oxygen. 
• Flow rate of
Flow rate of 1-6 Umin ... can eat. drink, and ... Nonrebreather Mask ... during inspiration and ... Venturi Mask (venti-mask
Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the
Lelli's Test (Lever ... 3rd of the calf and ... #Lellis #Test #Lever ... ligament #clinical #video ... physicalexam #sports #msk
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Albumin ↓ HRS and ... < 1.5 g/dL and ... advanced liver ... Child-Pugh > 9 and ... < 1.0 g/dL and
Hoffmann's Reflex on Physical Exam
The Hoffmann's reflex itself involves loosely holding the middle finger and flicking
middle finger and ... there is flexion and ... thumb on the same hand ... clinical #neurology #UMN ... #video #Pyramidal
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... malaise) → Acute liver ... AST/ALT (5-10x ULN ... age • Monitor and
Autoimmune Hepatitis

Clinical Presentation
 - Highly variable clinical presentation, from subclinical disease to acute liver failure.
 -
disease to acute liver ... hepatocellular pattern of liver ... ALT + AST > 10x ULN ... ALT + AST > 5x ULN ... AND IgG > 2x ULN
Dupuytren's Contracture (Palmar Fibromatosis) on Physical Exam

#Dupuytrens #Contracture #Palmar #Fibromatosis #clinical #video #physicalexam #msk #hand #orthopedics
Fibromatosis #clinical #video ... #physicalexam #msk ... #hand #orthopedics