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Folate Deficiency - Causes of Decreased Folic Acid
↓ Intake: Diet, Age, Alcohol
↑ Demand: Pregnancy, Infancy, Hemolysis,

Folate Deficiency ... Sulfasalazine, Trimethoprim ... @drkeithsiau #Folate

Etiologies of Folate Deficiency
• Decreased dietary intake - uncommon in this era
• Increased requirements

Etiologies of Folate ... underlying mild folate ... susceptible to trimethoprim ... consumption of folate ... In addition, folate

Antibiotics - Mechanisms and Sites of Action

Inhibit Cell Wall Synthesis or Function
- Beta Lactams,

Quinolones Inhibits Folate ... Synthesis: Trimethoprim

Freiberg's Test for Piriformis Syndrome

Flex the hip to 90 degrees, internally rotate the hip.
Pain in the

degrees, internally rotate ... lumbar #clinical #video ... #physicalexam #msk

Crank Test for Labral Tear of the Shoulder

To perform the Crank Test, fully abduct the shoulder

and externally rotate ... Video via @open_michigan ... PhysicalExam #clinical #video ... #sports #msk #orthopedics

Piriformis Test (FAIR Test - Flexion, Adduction, and Internal Rotation)

Flex the hip to 90 degrees, then

and internally rotate ... lumbar #clinical #video ... #physicalexam #msk

Reduction of Posterior Elbow Dislocation

#Elbow #Dislocation #Reduction #Posterior #clinical #video #msk #sports #orthopedics #physicalexam

Posterior #clinical #video ... #msk #sports #orthopedics

Clarke's Test (Patellar Grind Test)

Indicates Patellofemoral dysfunction.
- Patient with knee in extension. Push posterior on

of patella then ask ... Grind #clinical #video ... Patellofemoral #msk

Anterior Cruciate Ligament Injury seen with positive Anterior Drawer Test

#Anterior #Cruciate #Ligament #ACL #Injury #Drawer #Test

physicalexam #clinical #video ... #msk

Winged Scapula on Physical Exam

Caused by injury to the long thoracic nerve

#Winged #Scapula #PhysicalExam #clinical #video

PhysicalExam #clinical #video ... #neurology #msk

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