20 results
Cutaneous and Systemic Findings in Dermatomyositis
Cutaneous Findings:
 - Heliotrope sign and edema
 - Nail-fold changes
 -
- Heliotrope sign ... V-neck sign or ... - Interstitial lung ... gastroesophageal reflux ... Dermatomyositis #Diagnosis
Brudzinski’s Sign in Meningitis (first described in 19th century by Dr. Josef Brudzinski)

Brudzinski's sign is characterized
Brudzinski’s Sign ... Brudzinski's sign ... an involuntary reflex ... Clinical #Video #PhysicalExam ... #Pediatrics #Peds
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
Diagnostic Testing ... Non-specific Kernig Sign ... 95% Brudzinski Sign ... neck and legs will ... #testing #physicalexam
Guide for testing and documenting neurological function in kids with upper limb fractures 

Rock - Median
Ulnar Nerve OK Sign ... drsarahedwards #Diagnosis ... #Pediatrics #Hand ... Peripheral #Nerves #PhysicalExam ... Mnemonic #Upper #Arm #Injury
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Pathophysiology: • Severe injury ... Awareness • Injury ... • Examine for signs ... caseyalbin #PhysicalExam
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Apnea/poor effort, Signs ... Binder) • Use POCUS ... ↓ BP is a late sign ... normalized vital signs ... Survey #CABCDE #management
Myotonic Dystrophy
Typically presents in middle age with weakness of hands, legs and neck.
 - Mental deficiency
, legs and neck ... face leads to a long ... - inability to relax ... Dystrophy #Myotonia #Diagnosis ... #signs #symptoms
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... abdominojugular, reflux ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs
What is a Boxer’s fracture?? Fracture of the 4th or 5th metacarpal neck
 - Common in
5th metacarpal neck ... Management: - ... Overlying wounds or signs ... recommended if injury ... #Metacarpal #Diagnosis
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... onto outstretched hand ... can't make A-OK sign ... brachial artery injury ... Radiology #XRay #Diagnosis