7 results
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
Midcarpal Instability (MCI ... extensors (ECU, ... dr.sergibarrera #MCI ... #msk #orthopedics ... clinical #video #physicalexam
Differential Diagnosis of Pericardial Effusion

Trauma
Pericarditis
Recent MI
Autoimmune 
Neoplastic 
Endocrine/Metabolic 
Venous Congestion 
Medications 

- Dr. Tom Fadial https://twitter.com/thame

#Pericardial
Differential Diagnosis ... Pericarditis Recent MI ... Tom Fadial https ... #Diagnosis #Management ... #Emergency #Algorithm
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
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Management Algorithm ... electrolytes, CXR, ECG ... (might include cranial ... CSF, thyroid, MRI ... #Algorithm
Extensor Carpi Ulnaris (ECU) Synergy Test for ECU Tendinitis

With the patient's hand supinated, the examiner grasps
Carpi Ulnaris (ECU ... The patient radially ... aspect of the wrist ... clinical #video #physicalexam ... #msk #orthopedics
Orofacial Granulomatosis - Diagnosis and Management Algorithm
Idiopathic OFG: isolated swelling of the lips, BX+ non-caseating granuloma
Melkersson-Rosenthal
Diagnosis and Management ... fissured tongue + facial ... paralysis *Differential ... Moderate-Severe OFG, MRS ... Granulomatosis #Diagnosis #Management
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... blinks to threat Cranial ... • If ok with ICU ... Arms extended; wrists ... caseyalbin #PhysicalExam
Extensor Carpi Ulnaris (ECU) subluxation 
The Extensor Carpi Ulnaris (ECU), is the must ulnar of the
upon reaching the wrist ... aspect of the wrist ... tendon, MRI or ... subluxation #clinical #physicalexam ... #msk