iiinova — where your digital self keeps evolving

Dr John Kiel | Medical Education @mededcases.bsky.social · 3h

🦴 Which component of the intervertebral disc primarily provides resistance to tensile forces and contains the nucleus pulposus? Leave your answer in the comments 👇 🔗 Link in bio #Anatomy #SpineAnatomy #MedicalEducation #SportsMedicine #Musculoskeletal

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Dr John Kiel | Medical Education @mededcases.bsky.social · 13h

🦵 Which activity most commonly reproduces pain in someone with Patellofemoral Pain? A. Squatting or walking downstairs B. Sitting with the knee fully extended C. Moving the ankle while the knee is relaxed D. Standing with the knee straight 💡 Think about how each activity loads the joint between th

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Dr John Kiel | Medical Education @mededcases.bsky.social · 13h

🦶 Squeeze Test for High Ankle Sprain 🩺 The examiner compresses the tibia and fibula together at the midcalf. Pain reproduced near the distal syndesmosis suggests a high ankle sprain. 🔗 Link: wikism.org/Squeeze_Test #HighAnkleSprain #AnkleInjury #SportsMedicine #PhysicalExam #MedicalEducation

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Dr John Kiel | Medical Education @mededcases.bsky.social · 18h

🧠 Which neck muscle rotates the head to the opposite side and laterally bends the neck toward the same side when contracting unilaterally? Leave your answer in the comments 👇 🔗 Link in bio #Anatomy #NeckMuscles #MedicalEducation #Musculoskeletal #SportsMedicine

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Dr John Kiel | Medical Education @mededcases.bsky.social · 23h

🦴 Which finding defines a Weber C ankle fracture? • Fibular fracture below the syndesmosis • Fibular fracture at the level of the syndesmosis • Fibular fracture above the syndesmosis • Isolated medial malleolus fracture #AnkleFracture #Orthopedics #EmergencyMedicine #SportsMedicine #MedEd

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Dr John Kiel | Medical Education @mededcases.bsky.social · 30/09/2026

Which ligament is most commonly injured in an inversion ankle sprain? 🦶 • Anterior talofibular ligament (ATFL) • Calcaneofibular ligament (CFL) • Posterior talofibular ligament (PTFL) • Deltoid ligament 🧠 Test your knowledge of ankle anatomy! Leave your answer in the comments 👇 🔗 Link in bio #A

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Dr John Kiel | Medical Education @mededcases.bsky.social · 29/09/2026

🦵 Knee pain when squatting? The Squat Test helps assess patellofemoral pain 🔗 Link: wikism.org/Squat_Test #PatellofemoralPain #KneePain #SportsMedicine #PhysicalExam #MSK

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Dr John Kiel | Medical Education @mededcases.bsky.social · 29/09/2026

Which tissue is primarily inflamed in rheumatoid arthritis? 🤔 A. Articular cartilage B. Synovial membrane C. Meniscus D. Subchondral bone Rheumatoid arthritis often affects joints in both hands and can cause swelling, pain, and stiffness. The enlarged joint in this illustration shows what ha

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Dr John Kiel | Medical Education @mededcases.bsky.social · 29/09/2026

Speed’s Test: What Does Anterior Shoulder Pain Suggest? 💪 🔗 Link: wikism.org/Speeds_Test #SportsMedicine #ShoulderExam #BicepsTendon #PhysicalExam #MedicalEducation

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Dr John Kiel | Medical Education @mededcases.bsky.social · 29/09/2026

Which rotator cuff muscle initiates shoulder abduction? 💪 A. Supraspinatus B. Infraspinatus C. Teres minor D. Subscapularis Leave your answer in the comments 👇 🔗 Link in bio #Anatomy #ShoulderAnatomy #RotatorCuff #SportsMedicine #MedEd

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Dr John Kiel | Medical Education @mededcases.bsky.social · 29/09/2026

What injury is indicated by the arrow on this lateral wrist X-ray? A. Scaphoid fracture B. Triquetral fracture C. Lunate dislocation D. Distal radius fracture 🔎 Look closely at the small bone fragment along the back of the wrist. Leave your answer in the comments 👇 🔗 Link in bio #WristXra

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Dr John Kiel | Medical Education @mededcases.bsky.social · 29/09/2026

🦵 What is the primary role of the medial collateral ligament (MCL) of the knee? The MCL helps stabilize the inner side of the knee. Which movement challenges it most? Leave your answer in the comments 👇 🔗 Link: wikism.org/Medial_Colla... #Anatomy #KneeAnatomy #SportsMedicine #MSK

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Dr John Kiel | Medical Education @mededcases.bsky.social · 29/09/2026

🧠 Pronator Drift: A Subtle Sign of Weakness 🙌 Ask the patient to hold both arms forward, palms up, with eyes closed. If one arm turns inward and drifts downward, consider an upper motor neuron deficit. 📖 Link in bio #NeurologicExam #PhysicalExam #EmergencyMedicine #MedicalEducation

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Dr John Kiel | Medical Education @mededcases.bsky.social · 28/09/2026

Chest pain that’s tender when you press beside the sternum? Costochondritis may be the cause. • It affects the junctions where the ribs meet the sternum. • Pain can worsen with chest wall movement or deep breathing. Clinical pearl: Reproducible tenderness is a clue, but serious causes of chest pai

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Dr John Kiel | Medical Education @mededcases.bsky.social · 28/09/2026

Can the shape of your wrist offer a clue to carpal tunnel syndrome? 📏 Have you used this measurement? Leave your answer in the comments 👇 🔗 Link: wikism.org/Square_Wrist... #CarpalTunnelSyndrome #PhysicalExam #WristAnatomy #SportsMedicine

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Dr John Kiel | Medical Education @mededcases.bsky.social · 28/09/2026

Which is the longest muscle in the human body? 🦵 A. Rectus femoris B. Sartorius C. Gracilis D. Biceps femoris It runs diagonally across the front of the thigh. Can you name it? Leave your answer in the comments 👇 🔗 Link in bio #Anatomy #HumanAnatomy #MuscleAnatomy #MedicalEducation

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Dr John Kiel | Medical Education @mededcases.bsky.social · 28/09/2026

🩻 This X-ray shows the injury pre- and post-operative Which structures were fractured? A. Medial and lateral malleoli B. Lateral and posterior malleoli C. Medial malleolus and talus D. Distal fibula and calcaneus 🔗 Link: wikism.org/Ankle_Fracture #Orthopedics #EmergencyMedicine #Trauma #Radiolog

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Dr John Kiel | Medical Education @mededcases.bsky.social · 28/09/2026

Which forearm bone rotates around the other during pronation and supination? 🦴 Picture turning your palm up and down as you examine the radius and ulna. Leave your answer in the comments 👇 🔗 Link: wikism.org/Forearm_Anatomy #Anatomy #ForearmAnatomy #MusculoskeletalAnatomy #MedicalEducation

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Dr John Kiel | Medical Education @mededcases.bsky.social · 27/09/2026

🦵 Knee pain after a twist? A meniscus tear may be the cause 🔎 Look for joint-line tenderness and swelling after the injury ⚙️ Catching can occur; a knee that truly locks needs prompt evaluation 📖 Learn more about meniscus tears. Link in bio #KneeInjury #SportsMedicine #Orthopedics #KneePain

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Dr John Kiel | Medical Education @mededcases.bsky.social · 27/09/2026

Why does skin sometimes look like an orange peel? 🍊 Peau d’orange is a dimpled appearance caused by swelling around pores and hair follicles. In inflammatory breast cancer, tumor cells can block lymphatic vessels in the breast, allowing fluid to build up. 🔎 The finding is not specific to cancer, b

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Dr John Kiel | Medical Education @mededcases.bsky.social · 27/09/2026

Solheim Sign 🦵 Buttock pain with passive adduction of the flexed hip may point toward piriformis involvement. 🔎 🔗 Link: wikism.org/Solheim_Sign #PiriformisSyndrome #DeepGlutealSyndrome #HipPain #PhysicalExam #SportsMedicine

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Dr John Kiel | Medical Education @mededcases.bsky.social · 27/09/2026

🦴 Where is the clavicle located? The clavicle is the bone you can feel across the front of your upper chest. Which answer would you choose? 👇 📖 Link in bio #Anatomy #HumanAnatomy #MedicalEducation #AnatomyQuiz

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Dr John Kiel | Medical Education @mededcases.bsky.social · 27/09/2026

🩻 What fracture is shown on this X-ray? A. Distal clavicle fracture B. Proximal humerus fracture C. Humeral shaft fracture D. Scapular neck fracture 👇 Drop your answer in the comments! 🔗 Link in bio #ShoulderXray #EmergencyMedicine #SportsMedicine #Radiology #Orthopedics

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Dr John Kiel | Medical Education @mededcases.bsky.social · 27/09/2026

Which effect best explains how caffeine can improve endurance performance? ☕🏃 Caffeine is one of the most studied supplements in sports performance. 🔗 Link: wikism.org/Caffeine #Caffeine #SportsPerformance #EnduranceTraining #SportsMedicine #ExerciseScience

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Dr John Kiel | Medical Education @mededcases.bsky.social · 26/09/2026

Which finding is most useful for identifying probable sarcopenia? A. Reduced muscle strength B. Joint swelling C. Increased body weight D. Limited shoulder rotation 🔗 Link in bio #Sarcopenia #MuscleHealth #HealthyAging #SportsMedicine #MedicalEducation

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Dr John Kiel | Medical Education @mededcases.bsky.social · 26/09/2026

⚡ Neck pain radiating into the arm? The Spurling Test can help assess for cervical radiculopathy 🔗 Link: wikism.org/Spurling_Test #CervicalRadiculopathy #NeckPain #PhysicalExam #SportsMedicine #EmergencyMedicine

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Dr John Kiel | Medical Education @mededcases.bsky.social · 26/09/2026

A painful snap at the front of the shoulder during rotation may suggest that the long head of the biceps tendon is slipping out of its groove. The Snap Test helps reproduce that movement during the shoulder exam. 🔗 Link wikism.org/Snap_Test #ShoulderPain #SportsMedicine #PhysicalExam #Orthopedics

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Dr John Kiel | Medical Education @mededcases.bsky.social · 26/09/2026

🧠 Which three structures make up the brainstem? 💡 The brainstem connects the brain with the spinal cord and helps regulate breathing, heart rate, and wakefulness 👇 Share your choice in the comments 🔗 Link in bio for more anatomy #Anatomy #Brainstem #Neuroanatomy #MedicalEducation

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Dr John Kiel | Medical Education @mededcases.bsky.social · 26/09/2026

🦶 Which fracture involves an avulsion of the tuberosity at the base of the fifth metatarsal? A. Jones fracture B. Pseudo-Jones fracture C. Dancer’s fracture D. Lisfranc fracture 🔗 Link: wikism.org/Fifth_Metata... #FootFracture #FifthMetatarsal #SportsMedicine #EmergencyMedicine #Orthopedics

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Dr John Kiel | Medical Education @mededcases.bsky.social · 26/09/2026

🧠 Which nerve wraps around the neck of the fibula? 👇 Drop your answer in the comments! 🔗 Full explanation in bio. #Anatomy #MedicalEducation #SportsMedicine #NerveAnatomy

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Dr John Kiel | Medical Education @mededcases.bsky.social · 25/09/2026

🦴 The Spring Test assesses pain and perceived mobility with gentle posterior-to-anterior pressure over each lumbar level. 🔗 Link: wikism.org/Spring_Test #LumbarSpine #LowBackPain #PhysicalExam #SportsMedicine #Orthopedics

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Dr John Kiel | Medical Education @mededcases.bsky.social · 25/09/2026

🦵 The Slocum Test is a variation of the anterior drawer test used to assess rotational instability of the knee. 🔗 Link: wikism.org/Slocum_Test #KneeExam #KneeInstability #SportsMedicine #Orthopedics #PhysicalExam

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Dr John Kiel | Medical Education @mededcases.bsky.social · 25/09/2026

🫀 Where is most of the liver located? 👇 Share your answer in the comments! 🔗 Full explanation in bio. #Anatomy #HumanAnatomy #MedicalEducation #EmergencyMedicine #AnatomyQuiz

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Dr John Kiel | Medical Education @mededcases.bsky.social · 25/09/2026

💥 A Jefferson fracture is a burst fracture of the atlas (C1), often caused by an axial load to the head. 🔗 Link: wikism.org/Jefferson_Fr... #CervicalSpine #SpineTrauma #Radiology #EmergencyMedicine #Orthopedics

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Dr John Kiel | Medical Education @mededcases.bsky.social · 25/09/2026

💪 Pain at the front of the shoulder? Speed’s Test can help assess the long head of the biceps tendon. 🔗 Link: wikism.org/Speeds_Test #ShoulderPain #BicepsTendon #SportsMedicine #PhysicalExam

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Dr John Kiel | Medical Education @mededcases.bsky.social · 24/09/2026

🧊 Frozen shoulder can make everyday movements painful and frustrating. 💬 Which shoulder movement do your patients struggle with most? 🔗 Full explanation in bio. #FrozenShoulder #AdhesiveCapsulitis #ShoulderPain #SportsMedicine #MedicalEducation

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Dr John Kiel | Medical Education @mededcases.bsky.social · 24/09/2026

SLAPprehension Test 🏋️ Bring the straight arm across the chest with the forearm turned down. Shoulder pain or apprehension that eases when the forearm turns up may suggest a SLAP lesion. 🔍 🔗 Link: wikism.org/SLAPprehensi... #ShoulderExam #SLAPLesion #SportsMedicine #Orthopedics #PhysicalExam

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Dr John Kiel | Medical Education @mededcases.bsky.social · 24/09/2026

🧠 Which muscle is part of the levator ani? A. Piriformis B. Puborectalis C. Obturator internus D. Gluteus medius 👇 Drop your answer in the comments. 🔗 Learn more at the link in bio. #Anatomy #PelvicFloor #MedicalEducation #SportsMedicine

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Dr John Kiel | Medical Education @mededcases.bsky.social · 24/09/2026

🩻 Which structure is fractured in a chauffeur fracture? 🔍 Look closely at the wrist X-ray and identify the fracture fragment. 👇 Drop your answer in the comments! 🔗 Full explanation in bio. #WristXray #Fracture #Radiology #Orthopedics #MedicalEducation

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Dr John Kiel | Medical Education @mededcases.bsky.social · 24/09/2026

🦴 What is the sacrum? 🔍 The highlighted structure sits between the hip bones and connects the spine to the pelvis. 👇 Drop your answer in the comments! 🔗 Full explanation in bio. #Anatomy #Pelvis #Spine #MedicalEducation

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Dr John Kiel | Medical Education @mededcases.bsky.social · 23/09/2026

🧠 Can you spot pronator drift? Ask the patient to hold both arms forward with palms up and eyes closed. Watch for one palm turning downward, the arm drifting lower, or both 💡 Clinical pearl: Pronation and downward drift are separate findings. Describe what you see rather than recording only “posit

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Dr John Kiel | Medical Education @mededcases.bsky.social · 23/09/2026

Chvostek sign: Tap over the facial nerve just in front of the ear. A twitch on the same side of the face is a positive response. Have you seen Chvostek sign on exam? Share your experience below. 🔗 link: wikism.org/Chvostek_Sign #PhysicalExam #Hypocalcemia #ClinicalSigns #EmergencyMedicine

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Dr John Kiel | Medical Education @mededcases.bsky.social · 23/09/2026

What is the smallest muscle in the human body? 👂 The middle ear contains two tiny muscles that help regulate how its structures move. One of them holds the record for the smallest muscle in the body. 🔗 Link in bio #Anatomy #HumanAnatomy #MedicalEducation #EarAnatomy

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Dr John Kiel | Medical Education @mededcases.bsky.social · 23/09/2026

🦴 Which feature makes an anterior tibial shaft stress fracture especially concerning? A. It commonly extends into the knee joint B. It has a higher risk of delayed union or nonunion C. It usually causes immediate inability to bear weight D. It cannot be seen on radiographs The radiographs

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Dr John Kiel | Medical Education @mededcases.bsky.social · 23/09/2026

🦴 Which is the strongest bone in the human body? A. Tibia B. Femur C. Humerus D. Pelvis Your bones support movement and withstand remarkable forces every day. Which one do you think takes the top spot? Drop your answer in the comments. 👇 🔗 Link in bio #Anatomy #MedicalEducation #Orthopedi

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Dr John Kiel | Medical Education @mededcases.bsky.social · 22/09/2026

🍑 Solheim Sign: The examiner flexes the affected hip and brings the thigh across the body. Reproduction of the patient’s familiar deep buttock pain or sciatic-type symptoms is a positive sign that may support piriformis syndrome. #PiriformisSyndrome #PhysicalExam #SportsMedicine #MedicalEducation

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Dr John Kiel | Medical Education @mededcases.bsky.social · 22/09/2026

❓ Which extra-articular complication requires routine screening in children with juvenile idiopathic arthritis? A. Uveitis B. Pancreatitis C. Nephrolithiasis D. Otitis media Juvenile idiopathic arthritis is a group of inflammatory arthritides beginning before age 16 and persisting for at least six

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Dr John Kiel | Medical Education @mededcases.bsky.social · 22/09/2026

Single-Limb Heel-Rise Test 🦶 This test assesses calf strength and posterior tibial tendon function. Difficulty performing repeated heel raises may indicate posterior tibial tendon dysfunction. 🔗 Link: wikism.org/Single_Limb_... #PhysicalExam #SportsMedicine #Orthopedics #FootAndAnkle #MedicalEduc

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Dr John Kiel | Medical Education @mededcases.bsky.social · 22/09/2026

🧠 Which muscles combine to form the triceps surae? 👇 Share your answer in the comments! 🔗 Full explanation in bio. #Anatomy #MedicalEducation #SportsMedicine #Orthopedics #Musculoskeletal

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