Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Phalen's Test for Carpal Tunnel Syndrome

Phalen's test evaluates for carpal tunnel syndrome. 
Fully flex wrists and
Carpal Tunnel Syndrome ... Fully flex wrists ... and adduct dorsal ... Reproduction of pain ... #Syndrome #Wrist
β–Ί
Phalen's Test for Carpal Tunnel Syndrome

Phalen's test evaluates for carpal tunnel syndrome. 
Fully flex wrists and
Carpal Tunnel Syndrome ... Fully flex wrists ... and adduct dorsal ... Reproduction of pain ... #Syndrome #Wrist
β–Ί
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
duck sign" on lateral ... duck sign" on lateral ... to distal ulna, pain ... with wrist flexion ... ED Management: Pain
Carpal Compression Test for Carpal Tunnel Syndrome

The carpal compression test evaluates for carpal tunnel syndrome.
Provide direct
Test for Carpal ... syndrome. ... volar side of the wrist ... Reproduction of pain ... #Wrist #PhysicalExam
β–Ί
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral ... , pain with wrist ... associated injuries: Carpal ... ED Management: Pain ... #Carpal #Radiology
Incomplete Spinal Cord Syndromes
Anterior Cord Syndrome:
 β€’ Bilateral loss of motor, pain and temperature sensation below
: β€’ Bilateral ... loss of motor, pain ... Contralateral loss of pain ... Penetrating trauma or lateral ... #Diagnosis #Neurology
Tinel's Test in Carpal Tunnel Syndrome

Perform a Tinel's test by tapping over the carpal tunnel.
Reproduction of
Carpal Tunnel Syndrome ... tapping over the carpal ... Reproduction of pain ... #Carpal #Tunnel ... #Syndrome #Wrist
β–Ί
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 β€’ Knee - L2, L3, L4
 β€’ Ankle - S1
β€’ Cauda Equina Syndrome ... - Low back pain ... lateral calf. ... Narrowing of spinal canal ... Myotomes #diagnosis #neurology
Median Nerve Anatomy and Function
The Median nerve is the nerve of pre-axial hand function; pinch, delicate
it is not all carpal ... β€’ Carpal tunnel ... interosseous nerve (AIN ... sensory exam to carpal ... Anatomy #diagnosis #neurology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 β€’ Abduction - C5,C6 (axillary)
 β€’ Adduction - C6, C7,
Pronation - C7, C8 Wrist ... " Β± Horner Syndrome ... Wrist drop - Occurs ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology