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𝗧𝗲𝗿𝗿𝘆-𝗧𝗵𝗼𝗺𝗮𝘀 𝘀𝗶𝗴𝗻 A radiographic finding where there is an abnormally wide gap between the scaphoid and lunate bones on wrist X-ray. 𝗣𝗿𝗲𝘀𝗲𝗻𝘁 𝗯𝗲𝘁𝘄𝗲𝗲𝗻 The scaphoid and lunate bones of the wrist. 𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗣𝗲𝗮𝗿𝗹 A scapholunate gap >3 mm
𝗧𝗲𝗿𝗿𝘆-𝗧𝗵𝗼𝗺𝗮𝘀 𝘀𝗶𝗴𝗻 A radiographic finding where there is an abnormally wide gap between the scaphoid and lunate bones on wrist X-ray. 𝗣𝗿𝗲𝘀𝗲𝗻𝘁 𝗯𝗲𝘁𝘄𝗲𝗲𝗻 The scaphoid and lunate bones of the wrist. 𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗣𝗲𝗮𝗿𝗹 A scapholunate gap >3 mm https://t.co/5e9ky5qIMu
What is this procedure called ? What is its purpose?
Right-sided Pleural Effusion ➔ Blunted right costophrenic angle ➔ Meniscus sign (concave line) at right lung base ➔ indicates fluid accumulation ➔ Increased density in right lower lung fields ➔ suggests right-sided pleural effusion
Right-sided Pleural Effusion ➔ Blunted right costophrenic angle ➔ Meniscus sign (concave line) at right lung base ➔ indicates fluid accumulation ➔ Increased density in right lower lung fields ➔ suggests right-sided pleural effusion https://t.co/eGlBgObMI5
𝗥𝗼𝘃𝘀𝗶𝗻𝗴 𝘀𝗶𝗴𝗻 𝗪𝗵𝗮𝘁 𝗶𝘁 𝗶𝘀 Pain felt in the right iliac fossa when pressure is applied to the left iliac fossa. 𝗛𝗼𝘄 𝘁𝗼 𝗘𝗹𝗶𝗰𝗶𝘁 With the patient supine, apply steady pressure over the left lower quadrant; reproduction of pain on the right side makes it…
𝗥𝗼𝘃𝘀𝗶𝗻𝗴 𝘀𝗶𝗴𝗻 𝗪𝗵𝗮𝘁 𝗶𝘁 𝗶𝘀 Pain felt in the right iliac fossa when pressure is applied to the left iliac fossa. 𝗛𝗼𝘄 𝘁𝗼 𝗘𝗹𝗶𝗰𝗶𝘁 With the patient supine, apply steady pressure over the left lower quadrant; reproduction of pain on the right side makes it…
Man presents with fatigue and systolic neck pulsations Diagnosis?
@docxusofficial 𝗟𝗮𝗿𝗴𝗲 𝘃 𝘄𝗮𝘃𝗲 𝗶𝗻 𝗝𝗩𝗣 𝗗𝗶𝗮𝗴𝗻𝗼𝘀𝗶𝘀: Severe tricuspid regurgitation 𝗖𝗹𝘂𝗲𝘀: Patient with fatigue. JVP exam shows systolic neck pulsations 𝗪𝗵𝗮𝘁 𝗶𝘀 𝘁𝗵𝗲 𝘃 𝘄𝗮𝘃𝗲: Represents venous filling of right atrium against a closed tricuspid valve in…
𝗣𝘂𝗱𝗱𝗹𝗲 𝘀𝗶𝗴𝗻 𝗪𝗵𝗮𝘁 𝗶𝘁 𝗶𝘀: Clinical test for detecting small volume ascites 𝗠𝗲𝘁𝗵𝗼𝗱: Patient lies prone for 5 min ➡️ shifts fluid anteriorly ➡️ on percussion, a dull note appears 𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗨𝘀𝗲: Detects as little as 120 mL of peritoneal fluid
𝗗𝗲𝗳𝗼𝗿𝗺𝗶𝘁𝘆: 𝗦𝘄𝗮𝗻 𝗻𝗲𝗰𝗸 𝗱𝗲𝗳𝗼𝗿𝗺𝗶𝘁𝘆 – hyperextension at 𝗣𝗜𝗣 with flexion at 𝗗𝗜𝗣 𝗗𝗶𝗮𝗴𝗻𝗼𝘀𝗶𝘀: 𝗥𝗵𝗲𝘂𝗺𝗮𝘁𝗼𝗶𝗱 𝗮𝗿𝘁𝗵𝗿𝗶𝘁𝗶𝘀 – chronic autoimmune polyarthritis with symmetric small joints and morning stiffness
𝗗𝗲𝗳𝗼𝗿𝗺𝗶𝘁𝘆: 𝗦𝘄𝗮𝗻 𝗻𝗲𝗰𝗸 𝗱𝗲𝗳𝗼𝗿𝗺𝗶𝘁𝘆 – hyperextension at 𝗣𝗜𝗣 with flexion at 𝗗𝗜𝗣 𝗗𝗶𝗮𝗴𝗻𝗼𝘀𝗶𝘀: 𝗥𝗵𝗲𝘂𝗺𝗮𝘁𝗼𝗶𝗱 𝗮𝗿𝘁𝗵𝗿𝗶𝘁𝗶𝘀 – chronic autoimmune polyarthritis with symmetric small joints and morning stiffness
Trendelenburg Gait/Sign 1. Patient stands and lifts the leg opposite to the side being tested 2. Observation for pelvis dropping on the lifted leg's side - Nerve Involved: Superior Gluteal Nerve - Muscle Involved: Gluteus Medius (mainly), and minimally Gluteus Minimus
Trendelenburg Gait/Sign 1. Patient stands and lifts the leg opposite to the side being tested 2. Observation for pelvis dropping on the lifted leg's side - Nerve Involved: Superior Gluteal Nerve - Muscle Involved: Gluteus Medius (mainly), and minimally Gluteus Minimus
@docxusofficial Bilateral hilar lymphadenopathy ➡️ Sarcoidosis Etiology: Young females (20–40), autoimmune, ⬆️ in African descent/Northern Europeans Pathophysiology: Non-caseating granulomas → lungs, hilar nodes, skin, eyes, heart Key Tip: BHL + non-caseating granulomas = Sarcoidosis
@docxusofficial Pleomorphic Adenoma aka BENIGN MIXED TUMOR - m/c tumor of Salivary Glands ~ 70% in PAROTID GLAND ~ Originates from both epithelial & myoepithelial cells C/F - - Smooth, painless mass on one side of face, gradually enlarges - Trouble chewing/swallowing - Hearing impairment
@docxusofficial 𝗟𝗶𝗸𝗲𝗹𝘆 𝗖𝗮𝘂𝘀𝗲: 𝗣𝗮𝗻𝗰𝗿𝗲𝗮𝘁𝗶𝗰 𝗰𝗮𝗿𝗰𝗶𝗻𝗼𝗺𝗮 𝗖𝗼𝘂𝗿𝘃𝗼𝗶𝘀𝗶𝗲𝗿’𝘀 𝗟𝗮𝘄: ➔ Painless jaundice + palpable gallbladder suggests malignancy, not gallstones 𝗥𝗲𝗮𝘀𝗼𝗻: ➔ Obstruction from malignancy leads to jaundice without pain, unlike gallstones
Patient with painless jaundice and palpable gallbladder Diagnosis? Which law applies?
Herpes Zoster (Shingles) Etiology → Varicella-zoster virus reactivation due to immunosuppression, aging, stress. Pathogenesis → Virus travels to skin along sensory nerves, causing inflammation and rash. C/F - Pain - Rash - Sensory Changes - Itching - Fever…

Dr.Dhruv Chauhan @DrDhruvchauhan
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د.احمد القب�... @nothing04040
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Naif A. Shaman, MD | ... @its_OrthoNaif
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