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Charcot's joints: common disorders

"Come See A Handsome DPM":
Congenital insenisitivity to pain
Syringomyelia/ Spina bifida
Alcoholism
Hansen's disease
Diabetes mellitus
Peripheral nerve injury
Menigomyelocele
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---Samuel Mae Baek-Kim

Arthritides: the six classifications

"Round COINS":
Rheumatoid diseases (inflammation of synovium)
Crystal depositions (gout, pseudogout)
Osteoarthritis
Infections
Neuropathy
SLE, mixed scleroderma
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---Samuel Atom Baek-Kim

White toe (arterial insufficiency toe)

5 P's:
Pale coloration
Pain (excruciating)
Paresthesia
Pulselessness
Warm compression and vasodilatory Patch to Proximal area
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---Samuel Atom Baek-Kim

Blue toe (microembolic toe)

CAVEMAN:
Cholesterol embolizations
Atrial fib with electricity or digitoxin
Valvular problems
Endocarditis
Mural thrimbosis
Aneurysm/ AV fistula
Nothing
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---Samuel Atom Baek-Kim

Peripheral vascular diseases

ABCDEF:
Atherosclerosis.
Buerger's disease (TAO)
Cyanosis/ Cold agglutinin/ Connective tissue disease (Raynaud's phenomenon)
Deep vein phlebothrombosis
Embolism
inFlammation of veins
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---Samuel Atom Baek-Kim

Skeletal disease: differential diagnosis

VITAMIN:
Vascular disease
Infection
Tumor
Arthritis
Metabolic bone disease
Injury
Neurodevelopmental disorders
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---Samuel Atom Baek-Kim

Proprioception and stereognosis deficits: causes

D.P.M.:
Tabes Dorsalis
Pernicious anemia
Mutiple sclerosis
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---Samuel Atom Baek-Kim

Coritcal vs. subcortical brain disease

"MD vs. DPM":
· Coritcal brain:
Memory
Discrimination (2 point)
· Subcortical brain:
Devoid of seizure
Primary sensation through thalamus
Movement disorders (most)
· Lower extremities manifestations are characteristic of the subcortical brain lesions.
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---Samuel Atom Baek-Kim

TIA: internal carotid vs. vertebrobasilar

MD vs. DPM
· Internal carotid:
Monocular blindness (amaurox fugax)
Dominant hemisphere (apahsia)
· The weakness or numbness is still less in the legs.
· Vetebrobasilar:
Diplopia/ Double blindness
Paralysis (quadriplesia)
Motor weakness (ipsilateral)
· Ataxia is characteristic in veterbrobasilar lesions.
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---Samuel Atom Baek-Kim Tuckahoe, New York

Diabetic neuropathy types

DPM:
Distal, symmetric, polyneuropathy
Proximal diabetic neuropathy
Mononeuritis muliplex
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---Samuel Atom Baek-Kim Tuckahoe, New York