35 results
Characteristic clinical manifestations of Down syndrome 
 
Typical craniofacial appearance 
 • Round face and flat
manifestations of Down syndrome ... • Brushfield spots ... neck • Single ... #Downs #Syndrome ... #PhysicalExam #
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... consistent with a diagnosis ... decompress the spinal ... clinical #video #ophthalmology ... #physicalexam #
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Toxins/Medications, Spinal ... Severe auto-PEEP, Abdominal ... compartment syndrome ... #Differential #Diagnosis
Krukenberg's Spindle on Slit Lamp Ocular Examination

Krukenberg's Spindle = spindle-shaped deposit of pigment on the posterior
Krukenberg's Spindle ... pigment dispersion syndrome ... pigment dispersion syndrome ... #Ocular #PhysicalExam ... clinical #video #ophthalmology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
white matter, spinal ... ) Differential Diagnosis ... inhibitors • Uveitis- Ophthalmology ... • Nonsurgical abdominal ... #diagnosis #management
Guillain–Barré syndrome (GBS)
(aka: Landry–Guillain–Barré–Strohl syndrome:
	Most common cause of acute flaccid paralysis
	Rapidly progressive ascending paralysis & areflexia
	Autonomic
Guillain–Barré syndrome ... Landry–Guillain–Barré–Strohl syndrome ... Differential diagnosis ... hyperreflexia, spinal ...  Spinal Cord
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Cauda Equina Syndrome ... compression • Spinal ... - Narrowing of spinal ... Dermatomes #Myotomes #diagnosis ... sensory #motor #leg #physicalexam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Mechanisms of Pain
Mixed - Nociceptive/Neuropathic
Nociceptive - Tissue Damage
 - Visceral - (From organ/cavity lining) Poorly localized,
Well-localized, sharp, short ... regional pain syndrome ... Post-stroke • Spinal ... #Differential #Diagnosis
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... Patellofemoral pain syndrome ... deficiency etc) • Spinal ... #differential #diagnosis ... extremity #msk #physicalexam