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Rotator Cuff Triad Test

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1. Rotator Cuff Triad Test

Rotator Cuff Triad Test Rotator Cuff Triad Test Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Rotator Cuff Triad Test Rotator Cuff (...) Triad Test Aka: Rotator Cuff Triad Test II. Indications Differentiates from Impingement III. Diagnosis: Rotator Cuff Tear Criteria Supraspinatus weakness on empty can test External rotation weakness on French Horn Test Impingement in external rotation or internal rotation on Hawkin's Test Interpretation Findings suggesting All three criteria met above (98% chance) Two criteria met and age over 60 years Findings not consistent with (<5%) No criteria from above met negative References Images: Related

2018 FP Notebook

2. Relationship Between Deltoid and Rotator Cuff Muscles During Dynamic Shoulder Abduction: A Biomechanical Study of Rotator Cuff Tear Progression. (PubMed)

Relationship Between Deltoid and Rotator Cuff Muscles During Dynamic Shoulder Abduction: A Biomechanical Study of Rotator Cuff Tear Progression. Previous biomechanical studies regarding deltoid function during glenohumeral abduction have primarily used static testing protocols.(1) Deltoid forces required for scapular plane abduction increase as simulated rotator cuff tears become larger, and (2) maximal abduction decreases despite increased deltoid forces.Controlled laboratory study.Twelve (...) °). Deltoid forces had no statistical correlation with acromial index (0.55; 95% CI, 0.48 to 0.61). Superior migration was 8.3 mm (95% CI, 5.5 to 11.1 mm) during testing of massive rotator cuff tears.Shoulders with rotator cuff tears require considerable compensatory deltoid function to prevent abduction motion loss. Anterosuperior tears resulted in the largest motion loss despite the greatest increase in deltoid force.Rotator cuff tears place more strain on the deltoid to prevent abduction motion loss

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2018 American Journal of Sports Medicine

3. Rotator Cuff Triad Test

Rotator Cuff Triad Test Rotator Cuff Triad Test Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Rotator Cuff Triad Test Rotator Cuff (...) Triad Test Aka: Rotator Cuff Triad Test II. Indications Differentiates from Impingement III. Diagnosis: Rotator Cuff Tear Criteria Supraspinatus weakness on empty can test External rotation weakness on French Horn Test Impingement in external rotation or internal rotation on Hawkin's Test Interpretation Findings suggesting All three criteria met above (98% chance) Two criteria met and age over 60 years Findings not consistent with (<5%) No criteria from above met negative References Images: Related

2015 FP Notebook

4. Guidelines for the Provision of Intensive Care Services

rounds are key opportunities to draw together information about the patients, to establish daily goals and determine main risks and communication tasks, using a standardised data collection sheet or an electronic equivalent. Given the size of the ICU team, and the impact of staff rotations and shift-working, it helps cohesion and flattens hierarchies if the morning round starts with each member introducing themselves by name and rank, including the consultants. Interaction with microbiology is best (...) case review with a trainee member of the visiting team (to determine dischargeability for example) which may then be followed in the middle of the day by consultant-to-consultant discussion, informed by available laboratory or imaging tests. Continuity of care between teams and over time is essential. Radiological investigations should be planned in discussion with the radiologist performing the procedure. Ideally the consultant intensivist should review imaging results directly

2019 Intensive Care Society

5. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

recommendations are provided for the care of patients with an AAA, including suggestions to improve mutual decision-making between the treating physician and the patients and their families as well as a number of new strategies to enhance perioperative outcomes for patients undergoing elective and emergent repair. Areas of uncertainty are highlighted that would benefit from further investigation in addition to existing limitations in diagnostic tests, pharmacologic agents, intraoperative tools, and devices (...) insufficiency, and unknown or poor functional capacity (metabolic equivalent [MET] < 4), who are to undergo OSR or EVAR, we suggest noninvasive stress testing. Level of recommendation 2 (Weak) Quality of evidence B (Moderate) We recommend a preoperative resting 12-lead electrocardiogram (ECG) in all patients undergoing EVAR or OSR within 30 days of planned treatment. Level of recommendation 1 (Strong) Quality of evidence B (Moderate) We recommend echocardiography before planned operative repair in patients

2018 Society for Vascular Surgery

6. Ultrasound Guidelines: Emergency, Point-of-care, and Clinical Ultrasound Guidelines in Medicine

Rotation and Curriculum Ultrasound Guidelines: Emergency, Point-of -care, and Clinical Ultrasound Guidelines in Medicine Page 2 of 46 Section 1 – Introduction Ultrasound (US) has become an integral modality in emergency care in the United States during the last two decades. Since the last update of these guidelines in 2008, US use has expanded throughout clinical medicine and established itself as a standard in the clinical evaluation of the emergency patient. There is a wide breadth of recognized (...) , simulation has the potential to expose trainees to a wider spectrum of pathology and common variants than typically encountered during an EUS rotation. Blended learning created by the flipped classroom, live instructor training, and simulation provide the opportunity for self-directed learning, deliberate practice and mastery learning. 45-47 Simulation also provides a valid assessment measure of each component of EUS competency. Appropriately designed cases assess a trainee’s ability to recognize

2016 American College of Emergency Physicians

7. Aortic Diseases

, including the medical, endovascular, and surgical approaches,which areoften combined. In addition, genetic disorders, congenital abnormalities, aortic aneurysms, and AD are discussedinmoredetail. In the following section, the normal- and the ageing aorta are described. Assessment of the aorta includes clinical examination and laboratory testing, but is based mainly on imaging techniques usingultrasound,computedtomography(CT),andMRI.Endovascu- lar therapies are playing an increasingly important role (...) and?ankinthesearchforprominentarterialpulsationsorturbulent blood ?ow causing murmurs, although the latter is very infrequent. Blood pressure should be compared between arms, and pulses should be looked for. The symptoms and clinical examination of patientswithADwillbeaddressedinsection6. 4.2 Laboratory testing Baselinelaboratoryassessmentincludescardiovascularriskfactors. 28 Laboratorytestingplaysaminorroleinthediagnosisofacuteaortic diseasesbutisusefulfordifferentialdiagnoses.Measuringbiomarkers early after onset of symptoms may result in earlier con

2014 European Society of Cardiology

8. Systematic review of needs for medical devices for ageing populations

, including tests used during the course of the study. In many cases, there may be a range of options of devices for a specific indication. The clinical application of the information from these studies in a real-world context may not always be clear, and a specific comment on the comparative safety and effectiveness of the alternative devices was not possible. Although the list of topics was based on the top five causes of losses of DALYs for older people in the Western Pacific Region, regionality has (...) be shifts in research priorities to accommodate the aged population, such as towards minimally invasive technologies or home and self-care devices (3). New medical devices are frequently developed and tested in high-resource settings, and hence their applicability to low- or medium-resource settings needs to be considered. The factors involved in setting priority health care areas and identifying the medical devices needed to address them are many and complex. The focus of this project is to identify

2015 ASERNIP-S

9. Surgical Management of Osteoarthritis of the Knee

“Low” strength studies with consistent findings or evidence from a single study for recommending for or against the intervention or diagnostic test or the evidence is insufficient or conflicting and does not allow a recommendation for or against the intervention. 6 CIRRHOSIS/HEPATITIS C AS A RISK FACTOR Limited evidence supports that patients with cirrhosis or hepatitis C are at higher risk for complications with total knee arthroplasty (TKA). Strength of Recommendation: Limited Evidence (...) Description: Evidence from two or more “Low” strength studies with consistent findings or evidence from a single study for recommending for or against the intervention or diagnostic test or the evidence is insufficient or conflicting and does not allow a recommendation for or against the intervention. PREOPERATIVE PHYSICAL THERAPY Limited evidence supports that supervised exercise before total knee arthroplasty (TKA) might improve pain and physical function after surgery. Strength of Recommendation

2015 American Academy of Orthopaedic Surgeons

10. Systematic review on needs for medical devices for older people

, and its clinical significance, was not clear from the information provided in the published study. Many studies report a range of similar types of devices including tests that were used during the course of the study. In many cases there may be a range of options of devices for a specific indication. The clinical application of the information from these studies in a real-world context may not always be clear, and a specific comment on the comparative safety and effectiveness of the alternative (...) changes, there may also be shifts in research priorities to accommodate the aged population, such as towards minimally invasive technologies or home and self-care devices. 3 New medical devices are frequently developed and tested in high resource settings and hence their applicability to low or medium resource settings also needs to be considered. The factors involved in setting priority health areas and identifying the medical devices needed to address them are many and complex. The focus

2013 ASERNIP-S

11. Needs for medical devices for older people

, and its clinical significance, was not clear from the information provided in the published study. Many studies report a range of similar types of devices including tests that were used during the course of the study. In many cases there may be a range of options of devices for a specific indication. The clinical application of the information from these studies in a real-world context may not always be clear, and a specific comment on the comparative safety and effectiveness of the alternative (...) changes, there may also be shifts in research priorities to accommodate the aged population, such as towards minimally invasive technologies or home and self-care devices. 3 New medical devices are frequently developed and tested in high resource settings and hence their applicability to low or medium resource settings also needs to be considered. The factors involved in setting priority health areas and identifying the medical devices needed to address them are many and complex. The focus

2013 ASERNIP-S

12. Thoracic Aortic Disease: Guidelines For the Diagnosis and Management of Patients With

. Evaluation and Management of Acute Thoracic Aortic Disease .e68 e28 Hiratzka et al. JACC Vol. 55, No. 14, 2010 2010 Guidelines on Thoracic Aortic Disease April 6, 2010:e27–1298.6.1. Initial Evaluation and Management. . .e68 8.6.1.1. RECOMMENDATIONS FOR ESTIMATION OF PRETEST RISK OF THORACIC AORTIC DISSECTION..e68 8.6.1.2. LABORATORY TESTING e68 8.6.1.3. RECOMMENDATIONS FOR SCREENING TESTS e69 8.6.1.4. RECOMMENDATIONS FOR DIAGNOSTIC IMAGING STUDIES ..e69 8.6.1.5. RECOMMENDATIONS FOR INITIAL MANAGEMENT e69 (...) , weigh the strength of evidence for or against particular treatments or procedures, and include estimates of expected health outcomes where data exist. Patient-speci?c modi?ers, comorbidities, and issues of pa- tient preference that may in?uence the choice of tests or therapies are considered. When available, information from studies on cost is considered, but data on ef?cacy and clinical outcomes constitute the primary basis for recommendations in these guidelines. The ACCF/AHA Task Force

2010 American College of Cardiology

13. The Polytraumatized Patient (Overview)

the mouth, with a mask that covers the larynx. It comes in different sizes, so check the package to choose the appropriate size for the weight of the patient. After inflating the cuff, the airway is secured. A laryngeal mask airway is very effective as a rescue airway, but it does not protect the patient from aspiration and should be considered only a temporary measure until definitive airway management is possible. Definitive airway management Definitive airway management achieves the 3 P' s: airway (...) otherwise. Protection is initially provided by holding the head in a neutral position facing forward. It can be temporarily maintained with a hard cervical collar and taping of the forehead to the gurney to prevent rotation within the collar. When intubating a patient with possible cervical spine injury, the head is kept in a neutral position. The patient must lie immobile with a hard collar in place until vertebral or is excluded clinically or with radiography (see Cervical spine clearance

2014 eMedicine Surgery

14. The Polytraumatized Patient (Diagnosis)

through the mouth, with a mask that covers the larynx. It comes in different sizes, so check the package to choose the appropriate size for the weight of the patient. After inflating the cuff, the airway is secured. A laryngeal mask airway is very effective as a rescue airway, but it does not protect the patient from aspiration and should be considered only a temporary measure until definitive airway management is possible. Definitive airway management Definitive airway management achieves the 3 P' s (...) otherwise. Protection is initially provided by holding the head in a neutral position facing forward. It can be temporarily maintained with a hard cervical collar and taping of the forehead to the gurney to prevent rotation within the collar. When intubating a patient with possible cervical spine injury, the head is kept in a neutral position. The patient must lie immobile with a hard collar in place until vertebral or is excluded clinically or with radiography (see Cervical spine clearance

2014 eMedicine Surgery

15. Ventilator-Associated Pneumonia (Diagnosis)

dialysis within 30 days Immunocompromise This assessment is important so that appropriate empiric antibiotics can be initiated before bacterial culture results return. If appropriate empiric antibiotics are selected, the subsequent adjustment of antibiotics does not improve the patient's mortality risk. Diagnostic triad The diagnostic triad for VAP consists of the following clinical criteria: Pulmonary infection: Signs include fever, purulent secretions, and leukocytosis Bacteriologic evidence (...) of a randomized, controlled trial showed a significant reduction in VAP (relative risk reduction of 42%), including late-onset VAP, when subglottic secretion drainage was performed while patients were on mechanical ventilation. [ ] Cuff pressures should be maintained at greater than 20 cm of water to prevent aspiration around the endotracheal tube. Passive humidifiers or heat moisture exchangers are preferred to reduce colonization of the ventilator circuit. Ventilatory-circuit condensation should

2014 eMedicine.com

16. Surgical Treatment of Vaginal Cancer (Treatment)

a prior hysterectomy. In a 1996 report, however, Pearce et al reviewed 9,610 vaginal smears from 5,682 women who underwent hysterectomy for benign gynecologic diseases and found that the probability of an abnormal Papanicolaou smear in these women was 1.1%, with a 0% positive predictive value for detecting vaginal cancer. [ ] Similarly, in 2000, Videlefsky et al [ ] and Fetters et al concluded that routine vaginal cuff testing for most patients who underwent hysterectomy for benign conditions (...) chain reaction (PCR) assay and expression of p53 gene and Ki-67 antigen using immunohistochemistry in cervical, vaginal, and vulvar cancer. [ ] There was no significant difference in overexpression of Ki-67 antigen among the 3 cancers. Another explanation for the association between vaginal cancer and cervical and vulvar carcinoma is that an occult residual disease such as VAIN is trapped within the vaginal cuff posthysterectomy and goes unnoticed until it develops into invasive carcinoma

2014 eMedicine.com

17. Ventilator-Associated Pneumonia (Treatment)

dialysis within 30 days Immunocompromise This assessment is important so that appropriate empiric antibiotics can be initiated before bacterial culture results return. If appropriate empiric antibiotics are selected, the subsequent adjustment of antibiotics does not improve the patient's mortality risk. Diagnostic triad The diagnostic triad for VAP consists of the following clinical criteria: Pulmonary infection: Signs include fever, purulent secretions, and leukocytosis Bacteriologic evidence (...) of a randomized, controlled trial showed a significant reduction in VAP (relative risk reduction of 42%), including late-onset VAP, when subglottic secretion drainage was performed while patients were on mechanical ventilation. [ ] Cuff pressures should be maintained at greater than 20 cm of water to prevent aspiration around the endotracheal tube. Passive humidifiers or heat moisture exchangers are preferred to reduce colonization of the ventilator circuit. Ventilatory-circuit condensation should

2014 eMedicine.com

18. Surgical Treatment of Vaginal Cancer (Overview)

a prior hysterectomy. In a 1996 report, however, Pearce et al reviewed 9,610 vaginal smears from 5,682 women who underwent hysterectomy for benign gynecologic diseases and found that the probability of an abnormal Papanicolaou smear in these women was 1.1%, with a 0% positive predictive value for detecting vaginal cancer. [ ] Similarly, in 2000, Videlefsky et al [ ] and Fetters et al concluded that routine vaginal cuff testing for most patients who underwent hysterectomy for benign conditions (...) chain reaction (PCR) assay and expression of p53 gene and Ki-67 antigen using immunohistochemistry in cervical, vaginal, and vulvar cancer. [ ] There was no significant difference in overexpression of Ki-67 antigen among the 3 cancers. Another explanation for the association between vaginal cancer and cervical and vulvar carcinoma is that an occult residual disease such as VAIN is trapped within the vaginal cuff posthysterectomy and goes unnoticed until it develops into invasive carcinoma

2014 eMedicine.com

19. Ventilator-Associated Pneumonia (Overview)

dialysis within 30 days Immunocompromise This assessment is important so that appropriate empiric antibiotics can be initiated before bacterial culture results return. If appropriate empiric antibiotics are selected, the subsequent adjustment of antibiotics does not improve the patient's mortality risk. Diagnostic triad The diagnostic triad for VAP consists of the following clinical criteria: Pulmonary infection: Signs include fever, purulent secretions, and leukocytosis Bacteriologic evidence (...) of a randomized, controlled trial showed a significant reduction in VAP (relative risk reduction of 42%), including late-onset VAP, when subglottic secretion drainage was performed while patients were on mechanical ventilation. [ ] Cuff pressures should be maintained at greater than 20 cm of water to prevent aspiration around the endotracheal tube. Passive humidifiers or heat moisture exchangers are preferred to reduce colonization of the ventilator circuit. Ventilatory-circuit condensation should

2014 eMedicine.com

20. Surgical Treatment of Vaginal Cancer (Follow-up)

a prior hysterectomy. In a 1996 report, however, Pearce et al reviewed 9,610 vaginal smears from 5,682 women who underwent hysterectomy for benign gynecologic diseases and found that the probability of an abnormal Papanicolaou smear in these women was 1.1%, with a 0% positive predictive value for detecting vaginal cancer. [ ] Similarly, in 2000, Videlefsky et al [ ] and Fetters et al concluded that routine vaginal cuff testing for most patients who underwent hysterectomy for benign conditions (...) chain reaction (PCR) assay and expression of p53 gene and Ki-67 antigen using immunohistochemistry in cervical, vaginal, and vulvar cancer. [ ] There was no significant difference in overexpression of Ki-67 antigen among the 3 cancers. Another explanation for the association between vaginal cancer and cervical and vulvar carcinoma is that an occult residual disease such as VAIN is trapped within the vaginal cuff posthysterectomy and goes unnoticed until it develops into invasive carcinoma

2014 eMedicine.com

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