• The Saddle Nose - Overview

    What conditions are associated with saddle nose? 1. Granulomatous Disorders: a) Granulomatosis Polyangitis b) Infection (Mycobacterial, Leprosy) c) Sarcoidosis…


  • Referred Pain Physical Exam

    A 78 year old man with no significant past medical history presents to his primary care physician with 4 days of right shoulder pain. The pain is located over the acromioclavicular joint. The pain is worse at night with lying down and associated with shortness of breath. He states that the pain is better during the day. He is an avid ping pong player and does not have pain or shortness of breath with playing ping pong...


  • What is amyopathic dermatomyositis?

    37 yr old male with a history of these lesions on his the back of his hands for the past two years. Notes no other medical issues. No weakness, fatigue, fevers or rashes anywhere else on his body. He works as a chiropractor and is concerned about his patients seeing his hands. Use of various over the counter treatments such as topical steroids and moisturizers did not improve the lesions.


  • A patient presents with foot pain and these chronic findings?

    This is a patient with chronic tophaceous gout likely presenting with an acute gout attack of the foot. The enlarged and often inflamed fingers (dactylitis) can be mistaken for psoriatic arthritis and ankylosing spondylitis.


  • Stanford 25 Session: Shoulder Exam with Mark Genovese

    Dr. Genovese emphasized technique and the importance of the exam of the shoulder over imaging. He says the following: “Visualize, palpate, active range of motion, passive range of motion, assess rotator cuff against resistance, assess for impingement. Value of the shoulder exam is far more important than standard or advanced imaging.”…


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