29 results
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
Instability (MCI) of the Wrist ... deviation of the wrist ... returns to its usual position ... #Instability #Wrist ... clinical #video #physicalexam
Asterixis on Physical Exam

Asterixis, aka liver flap, indicates at least Grade 2 hepatic encephalopathy in a
outstretched hands at wrist ... from the extended position ... drkeithsiau #Asterixis #PhysicalExam
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
joints (shoulders, wrists ... disease states Pathophysiology ... Monosodium urate deposition ... knees, fingers, wrist ... Gout #Comparison #rheumatology
Ulnar Fovea Sign Test for Fovea Disruption

Useful for patients with pain along the ulnar aspect of
aspect of the wrist ... flexion with the wrist ... in the neutral position ... Fovea #Sign #Test #wrist ... clinical #video #physicalexam
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... "waiter's tip" position ... Horner Syndrome Wrist ... sensory #motor #arm #physicalexam
Systemic Sclerosis (Scleroderma)
Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs
3
distal to elbows/wrists ... Scleroderma #SSc #rheumatology ... symptoms #testing #workup
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
arthritides Crystal Deposition ... ochronosis and crystal deposition ... Joint #Pain #MSK #rheumatology ... #approach #workup
Jaccoud's Arthropathy on Physical Examination

Deforming non-erosive arthropathy characterized by ulnar deviation of the second to fifth
on resting hand position ... clinical #video #physicalexam ... #hands #rheumatology
Radiocarpal Wrist Injection

Radiocarpal wrist injection. Often swelling is more prominent in inflammatory arthritis on radial side
Radiocarpal Wrist ... Radiocarpal wrist ... radial side of wrist ... clinical #video #physicalexam ... orthopedics #sports #rheumatology
Anterior Non-necrotizing Scleritis - Slit Lamp Ocular Examination

This 57 yo WM reported to clinic complaining of
patient was sent to rheumatology ... further systemic workup ... ophthalmology #physicalexam ... #rheumatology #