32 results
This trichobezoar was extracted from a teenage patient with trichotillomania (hair-pulling disorder) & trichophagia (compulsive hair-eating).
hair-pulling disorder) & trichophagia ... known as Rapunzel syndrome ... #trichobezoar #bezoar ... trichotillomania #trichophagia
Rotator Cuff Syndrome - SITS
Supraspinatus, Infraspinatus, Teres minor, and Subscapularis.
Causes: Calcific supraspinatus tendinitis 
Signs: painful abduction
Rotator Cuff Syndrome ... arm, empty can test ... Rotator #Cuff #Syndrome ... diagnosis #sports #MSK
Freiberg's Test for Piriformis Syndrome

Flex the hip to 90 degrees, internally rotate the hip.
Pain in the
Freiberg's Test ... for Piriformis Syndrome ... #Piriformis #syndrome ... #Freibergs #Test ... #physicalexam #msk
Pace Maneuver for Piriformis Syndrome

With the patient's hips and needs flexed to 90 degrees, the patient
for Piriformis Syndrome ... The test is positive ... Pace #Maneuver #Test ... #Piriformis #Syndrome ... lumbar #sciatica #msk
Cubital Tunnel Syndrome: Pathogenesis and clinical findings

 • Paresthesia of 5th and medial half of 4th
Cubital Tunnel Syndrome ... elbow flexion test ... CubitalTunnel #Syndrome ... signs #symptoms #msk
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Cushing Syndrome ... Suspected Cushing syndrome ... dexamethasone suppression test ... Urine Free by LC-MS ... ARUPLabs #Cushing #Syndrome
Shoulder Impingement Syndrome (SIS): Signs and Symptoms

Repetitive Overhead Activity, Scapular Dyskinesis -> Scapulohumeral mechanics become altered
Shoulder Impingement Syndrome ... + Painful arc test ... pain + Hawkin's test ... #Impingement #Syndrome ... signs #symptoms #msk
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
thyroid, Sjogren syndrome ... “dropping head syndrome ... Bedside: ice pack test ... /Edrophonium test ... immunologic assay - MuSK
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
Exam: • Hearing tests ... whispered voice test ... 512 Hz) Weber Test ... II ○ Susac’s syndrome ... Noise trauma ○ MS
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... motion (relieved by rest ... joints tend to bear ... Comparison #Versus #MSK