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Related Concept Videos

Changes in the Appendicular Skeleton with Age01:09

Changes in the Appendicular Skeleton with Age

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The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
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Flail Chest-I01:24

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Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
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Cardiovascular System Abnormal Findings I: Inspection and Palpation01:29

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In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
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Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

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Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
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Cardiovascular System Abnormal Findings II: Auscultation01:25

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Auscultation, an essential part of a heart examination, is done using a stethoscope. It provides crucial information about heart function and possible heart problems. Due to heart problems, abnormal sounds can be heard during systole or diastole. These sounds include S3 and S4 gallops, opening snaps, systolic clicks, and murmurs.
Abnormal Heart Sounds
Gallops:
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Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

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Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
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Related Experiment Video

Updated: Oct 9, 2025

The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
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A mysterious clavicular swelling.

Nur Saadah Mohamad1,2, Mohd Jazman Che Rahim3,4, Azliana Aziz5,2

  • 1MD, Department of Otorhinolaryngology- Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.

Malaysian Family Physician : the Official Journal of the Academy of Family Physicians of Malaysia
|December 23, 2021
PubMed
Summary
This summary is machine-generated.

Metastasis to the clavicle is rare. This case highlights how musculoskeletal ultrasound aided in diagnosing lung adenocarcinoma presenting as a clavicular mass when initial chest radiography was normal.

Keywords:
Clavicular metastasisclavicular masslung adenocarcinomanonsmall cell lung carcinoma

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Area of Science:

  • Oncology
  • Radiology
  • Musculoskeletal Imaging

Background:

  • Clavicle (collarbone) tumors are rare, with potential origins in the neck or thoracic regions.
  • Lung cancer metastasis to the clavicle presents an unusual clinical scenario.

Observation:

  • A 39-year-old male presented with a painful sternal-end clavicular mass and intermittent fever.
  • Initial chest radiography was unremarkable for pulmonary pathology.
  • Musculoskeletal ultrasound identified a clavicular mass, prompting further investigation.

Findings:

  • Computed tomography (CT) of the thorax revealed a mass in the right upper lung lobe.
  • CT-guided biopsy confirmed the mass as lung adenocarcinoma.
  • This represents an atypical presentation of lung carcinoma.

Implications:

  • Musculoskeletal ultrasound can be a valuable diagnostic tool for evaluating clavicular masses.
  • Early detection of lung cancer metastasis to the clavicle can be challenging due to atypical presentations.
  • Highlights the importance of integrated imaging approaches in diagnosing rare oncological presentations.