62 results
Drop Arm Test - Supraspinatus Tear

The drop arm test evaluates for a supraspinatus muscle tear.
Passively adduct
Supraspinatus Tear ... supraspinatus muscle tear ... to 90 degrees, flex ... #Shoulder #PhysicalExam ... clinical #video #sports
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
Physical Exam 53-year-old ... the ankle jerk reflex ... evaluation confirmed a diagnosis ... a deep-tendon reflex ... Woltmans #Signs #PhysicalExam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Vestibulo-ocular ... If ok with ICU team ... caseyalbin #PhysicalExam ... neurology #comatose #diagnosis
Treatment of Thrombotic Thrombocytopenic Purpura (TTP)
Diagnosis of TTP:
 • Rare and severe, ADAMTS13 deficiency
 • Autoimmune
Purpura (TTP) Diagnosis ... soon as TTP is diagnosed ... PLEX and RTX • Short-term ... Thrombocytopenic #Purpura #management ... #treatment #rheumatology
Chronic Vision Loss by Anatomic Location - Differential Diagnosis Algorithm
Cornea:
 • Keratoconus
 • Stromal Scaring
 •
- Differential Diagnosis ... - Obscure Red Reflex ... • Age Related Macular ... - Cotton wool spots ... #Differential #Diagnosis
Floaters - Differential Diagnosis Framework

What?
Vitreous Floaters:
• Microscopic collagen fibers within the vitreous that tend to clump
- Differential Diagnosis ... Patients As: • Black spots ... the vision • Spots ... #Differential #Diagnosis ... #Ocular #ophthalmology
Xeropthalmia: Pathogenesis and Ocular Manifestations

Decr Visual pigment -> Keratinization, thickening & non-wetting of the conjunctiva
Pathogenesis and Ocular ... mucins with reduced tear ... conjunctiva) • Bitot's spots ... ophthalmology #diagnosis
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Approach to Gout Diagnosis ... 1) 2+ flares/year ... NUIM_Chiefs #gout #diagnosis ... #management #treatment ... #ULT #rheumatology
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Differential Diaqnoses ... • Ocular: uveitis ... Stills #Disease #diagnosis ... #management #treatment ... #rheumatology
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
- Differential Diagnosis ... Gastroesophageal reflux ... gastroesophageal reflux ... vision or black spots ... #differential #diagnosis