151 results
Clinical signs in hands of rheumatoid arthritis: ulnar deviation, swan-neck and boutonnière deformity.

#PhysicalExam 
#clinical #photo #rheum
Clinical signs in hands ... rheumatoid arthritis: ulnar ... deviation, swan-neck ... and boutonnière ... #PhysicalExam
What is a Boxer’s fracture?? Fracture of the 4th or 5th metacarpal neck
 - Common in
5th metacarpal neck ... - Pain along ulnar ... – compartment syndrome ... weeks Urgent orthopedics ... Management #Referral #Orthopedics
Modified Allen's Test - Collateral Hand Circulation
- Apply pressure to the radial and ulnar arteries
- Release
ulnar arteries ... pressure on the ulnar ... - Color should ... return to the hand ... #circulation #physicalexam
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Fracture of proximal ulnar ... onto outstretched hand ... ), compartment syndrome ... DC with orthopedic ... Diagnosis #Management #Orthopedics
Jugular Venous vs Carotid Arterial Pulsations on Physical Exam

Jugular Venous Pulsations
• Well appreciated by inspection than
Jugular Venous vs ... Physical Exam Jugular ... Varies with posture and ... Venous #Arterial #Neck ... Pulsations #Comparison #PhysicalExam
Simultaneous visualization of venous (jugular) and arterial (carotid) neck pulsations on Physical Exam

Dr. Bruno Farnetano @bruno.farnetano

#venous
visualization of venous (jugular ... ) and arterial ( ... carotid) neck pulsations ... arterial #carotid #neck ... #pulsations #PhysicalExam
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
Kussmaul's Sign on Neck ... heart failure syndrome ... venous pressure should ... lack of fall) of jugular ... Kussmauls #Sign #PhysicalExam
Internal Jugular Vein Anatomy on JVP Examination
Where can I find the IJ?
- Look where SCM attaches
Internal Jugular ... (white arrow) and ... #Internal #Jugular ... #Anatomy #JVP #PhysicalExam ... #Neck
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Motor Function Shoulder ... aracteristic "claw hand ... " ± Horner Syndrome ... Anterior Shoulder ... sensory #motor #arm #physicalexam
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
5th metacarpal neck ... 5th metacarpal neck ... hematoma block or ulnar ... Diagnosis #Management #Hand ... #Orthopedics #MSK