Chest Spring • Chest spring positive (i.e. tenderness) suggests rib fracture Notes: • However, if chest wall is tender during palpation, rib fracture needs to be ruled out, e.g. by doing a chest X-ray. Hence, NO NEED to proceed with chest spring.
🔒Cushing’s response Elevated BP + Bradycardia Further reading: raised ICP
Abbreviation: CVL Central venous line // Central venous catheter
Abbreviation: CXR Chest X-rays
Abbreviation: DBP • Diastolic blood pressure
de Winter syndrome • Rare but severe • Upsloping ST depression (more than 1 mm) with peaked T wave in precordial leads, typically V1 – V4; Reciprocal ST elevation at aVR • Suggests left anterior descending artery (LAD) completely occluded Further reading LTFL
Decerebrate Posturing Upper limbs • Flexion of the fingers • Pronation of the forearm • Extension at the elbows • Adduction and internal rotation at the shoulder Lower limbs • Extension and internal rotation at the hip • Extension of the knee • Plantar flexion of the feet • Abduction and hyperextension of toes Related […]
Decorticate Posturing Upper limbs • Slow flexion of the fingers, wrists • Flexion of the elbows • Adduction and internal rotation at the shoulder Lower limbs • Extension and internal rotation at the hip • Extension of the knee • Plantar flexion of the feet • Abduction and hyperextension of toes Related post Decerebrate Glasgow […]
Dehydration • Dehydration in Paediatrics
Denis Three Column System Divisions: • Anterior column: anterior longitudinal ligament (ALL), anterior 2/3 of vertebral body and annulus • Middle column: posterior 1/3 of vertebral body and annulus, posterior longitudinal ligament (PLL) • Posterior column: pedicles, facets, ligamentum flavum, spinous process, posterior ligament complex (PLC) ===== Significance: Used to determine stability of spinal fracture […]