Thumb sign on xray {Ans: "Thumb sign" may be seen on a lateral soft tissue of the neck x-ray indicating epiglottitis}Ramsay Hunt Syndrome {Ans: Herpes zoster oticus. Characterized by hearing loss, pain, and vesicles in the ear or mouth along with ipsilateral facial palsy. Can be accompanied with vertigo and tinnitus.}De Quervain's Tenosynovitis {Ans: inflammation of tendons on the side of the wrist at the base of the thumb. These tendons include the abductor pollicis brevis and extensor pollicis brevis tendons.}Bursitis aspirate = Elevated WBC. Treatment? {Ans: Empiric broad-spectrum abx Indicative of septic bursitis}Carpal Tunnel Syndrome {Ans: occurs when the median nerve, which runs from the forearm into the palm, becomes constricted. The carpal tunnel is a narrow passageway of the ligaments and bones at the base of the hand that houses the median nerves and the tendons that bend the fingers. The median nerve provides feeling to the palm side of the thumb and the index, middle, and ring fingers but not to the little finger.}Extrinsic factors of dyspnea {Ans: both the acute and chronic etiologies of anemia, obesity, deconditioning, coronary artery disease, myocardial ischemia, myocardial infarction, cardiac tamponade, and neuromuscular disorders, such