36 results
Characteristic clinical manifestations of Down syndrome 
 
Typical craniofacial appearance 
 • Round face and flat
• Brushfield spots ... iris (pigmented spots ... neck • Single ... #Downs #Syndrome ... #PhysicalExam #
Rheumatoid Arthritis Summary
MCP and PIP Involvement, Spares DIP, Carpal Tunnel, Sicca Syndrome, Epi/Scleritis, Heart Disease, Rheumatoid
PIP Involvement, Spares ... Tunnel, Sicca Syndrome ... Instability, Felty's Syndrome ... Arthritis #RA #diagnosis ... #rheumatology #
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 #
Systemic Lupus Erythematosus - Summary
Antinuclear (ANA) - 95% - Initial screening test
Anti-dsDNA - 50%
 • Associated
block • Sjogren syndrome ... polymyositis overlap syndrome ... Hydroxychloroquine *Short ... #SLE #Summary #diagnosis ... #rheumatology #
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 ... #diagnosis #management ... signs #symptoms #rheumatology
Vasculitis Involving the Skin - Differential Diagnosis Framework

Primary: 50% Cutaneous Vasculitis: Leukocytoclastic Vasculitis
Secondary: CTD: SLE, RA
- Differential Diagnosis ... GPA Cutaneous Single ... Disease • Cogan syndrome ... #dermatology #rheumatology ... #differential #diagnosis
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
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
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