@Zedawing on GrepMed

Positive Hoffmann's sign (finger flexor reflex) in a patient with Multiple Sclerosis The Hoffmann's reflex test itself involves loosely holding the middle finger and flicking the fingernail downward, allowing the middle finger to flick upward reflexively. Any flexion of the ipsilateral thumb and/or index finger was considered positive. A positive Hoffmann’s reflex and finger jerks suggest hypertonia, but can occur in healthy individuals, and are not useful signs in isolation. In cerebellar diseases, the reflexes may be pendular, and muscle contraction and relaxation tend to be slow, but these are not sensitive or specific to cerebellar signs. #Hoffmanns #Hoffmans #Reflex #Positive #Abnormal #Clinical #Video #Signs #PhysicalExam

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Systematic changes affecting anesthesia in the obese patient. - Mark Harris, MD MPH @ https://twitter.com/MarkHarrisMD #Obesity #Anesthesiology #Anesthesia #Obese #Pathophysiology #Changes #Effects

Warfarin - INR Goals, Initial Dosing and Bridging Mechanical Mitral Valve Replacement 2.5-3.5 Other Valve Replacement 2-3 VTE Treatment/Prophylaxis 2-3 Atrial Fibrillation 2-3 Here's a review of some key information for appropriate warfarin dosing in ambulatory care. Basically the INR goal is always 2-3 unless it's specifically a mechanical mitral valve replacement. In ambulatory care, we generally start patients on warfarin 5 mg daily, but may do a lower dose of 2.5 mg daily if patients are elderly or have high bleeding risks. Alternatively, sometimes a loading dose of 10 mg on the first two days is a better strategy if trying to get to therapeutic range quickly. If the patient has an active clot (i.e. VTE treatment), bridging is needed because warfarin is pro-coagulant in the first 5 days due to depletion of natural anticoagulants Protein C & S. Bridging is usually enoxaparin, at a dose of 1 mg/kg Q12H for at least 5 days and until INR is therapeutic twice. Jarred Prudencio, PharmD - https://www.instagram.com/ambcarerx #Warfarin #INR #Goals #Targets #Dosing #Bridging #Initiation #Pharmacology

Figure 2: Sex differences in the lifetime incidence of psychiatric disorders vary from higher incidence in women, to no differences, to higher in men. Women/men lifetime incidence ratio was obtained directly from the publications referenced within the table or were calculated from the percentages of lifetime incidence published in the referenced studies. #Diagnosis #Psychiatry #Psychiatric #Disorders #Sex #Differences #Incidence

Treatment of Bleeding in Selected Inherited Disorders of Hemostasis #Bleeding #Disorders #HemophiliaA #HemophiliaB #Management #Table #Treatment

Personality Disorders - Clusters Cluster A - Schizotypal - Paranoid - Schizoid Cluster B - Borderline - Antisocial - Histrionic - Narcissistic Cluster C - Dependent - Avoidant - Obsessive-compulsive - Passive Aggressive #Personality #Disorders #Clusters #ClusterA #ClusterB #ClusterC

Personality Disorders by Clusters #Diagnosis #Psychiatry #Personality #Disorders #Clusters #ClusterA #ClusterB #ClusterC