The Upper Extremities.pdf
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Transcript of The Upper Extremities.pdf
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The Upper and Lower Extremities
Department of Internal Medicine Faculty of Medicine
Muhammadiyah University Yogyakarta
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Nicotine Staining
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Onychomycosis: Fungal Infection of the Nail
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Onycholysis: Separation of Nail from Underlying Bed, often due to onychomycosis
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Paronychia: Infection of skin adjacent to nail of middle finger
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Peripheral Vascular Disease, Hand Tissue death (i.e. gangrene) of the fingers secondary to severe peripheral
vascular disease
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Joint deformities secondary to rheumatoid arthritis
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Clubbing associated with conditions that cause chronic hypoxemia
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Cyanosis
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Pitting edema Note divit left (pitting) after application of pressure.
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Right upper extremity DVT. Note diffuse swelling
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Lymph Nodes of the Upper Extremity
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Palpation of Epitrochlear Lymph Nodes
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Palpation of the Axilla
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Left Axillary Adenopathy
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The Femoral Region
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The femoral pulse
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Vascular Anatomy
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The Popliteal Region
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Below The Knee
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Acute Arterial Insufficiency: Note Mottled Appearance of Skin
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Chronic Arterial Insufficienc with Ulcers
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Gangrene of Toes
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Venous Insufficiency
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Cellulitis
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Assymetric Leg, Swelling secondary to Deep Venous Thrombosis in
Right Leg
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Onychomycosis
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Venous Stasis Ulcer
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Neuropathic Ulcer in Patient with Diabetic Neuropathy
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Clinical Osteomyelitis
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Edema of Right Foot. Note Loss of Distinct Edges of Malleolous and Extensor Tendons
on Top of Foot
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Massive edema. Note: Remaining imprint of fingers.
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Lymphedema, Left Leg
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Paronychia: Infection of the skin medial and inferior to nail of great
toe. Image on the right is post I&D
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Location of Dorsalis Pedis Artery
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Location of Dorsalis Pedis Artery
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Palpating Dorsalis Pedis Artery
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Location of Posterior Tibial Artery
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Location of Posterior Tibial Artery
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Palpating Posterior Tibial Artery
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Using Doppler Device to Identify Posterior Tibial Artery
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The learning pyramid
(www.arl.org)
10% of what they read 20% of what they hear 30% of what they see 50% of what they see and hear 70% of what they talk over with others 80% of what they use and do in real life 95% of what they teach someone else to do