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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Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Mallet Finger Absence ... caused by disruption ... : Hyperflexion injury ... Discharge with orthpedic ... Management #Hand #Orthopedics
Gerstmann Syndrome
1) Finger agnosia - Inability to name their own fingers, affecting both sides
2) Right-left confusion
Gerstmann Syndrome 1) Finger ... name their own fingers ... - Inability to differentiate ... patient is still able ... Traumatic Brain Injury
Positive Varus Stress Test in LCL Injury

Interesting knee injury in a young basketball player who landed
Stress Test in LCL Injury ... Interesting knee injury ... able to perform ... #PhysicalExam #Sports ... #Orthopedics #Knee
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Thomas' Test for Hip Flexure Contracture

Thomas' Test assesses for hip flexure contracture.
One hip is maximally flexed
Thomas' Test for Hip ... Test assesses for hip ... rises off the table ... clinical #video #sports ... #msk #orthopedics
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Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Hyperextension injury ... tendon), mallet finger ... reduction β€’ Splint: Finger ... Discharge with orthopedic ... Management #Hand #Orthopedics
Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the
Sign) for ACL Injury ... rises from the table ... rise from the table ... #physicalexam #sports ... #msk #orthopedics
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Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 β€’ Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - Causes ... Acute spinal cord injury ... in spinal cord injury ... #differential # ... diagnosis #table
Positive Hoffmann's sign (finger flexor reflex)

Flexion and adduction of the thumb and flexion of the index
Hoffmann's sign (finger ... indicating cervical injury ... Hoffmanns #sign #finger ... physicalexam #msk #orthopedics ... #neurology #sports
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Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 β€’ Abduction - C5,C6 (axillary)
 β€’ Adduction - C6, C7,
, C8 (radial) Finger ... Supinator - C5, C6 β€’ Finger ... Erb's Palsy is caused ... characteristic "waiter's tip ... spared in this injury
Orthopedic Essentials - Spinal Trauma and Spine Classification 
DENIS THREE COLUMN CONCEPT
Anterior column:
Orthopedic Essentials ... process fracture Stable ... fractures: Don't cause ... deficit, still able ... Classification #Orthopedics