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Hepatopulmonary Syndrome (HPS) demonstrated on Echocardiogram Bubble Study

Intra-cardiac shunt: Bubbles appear in LA quickly (within 3

quickly (within 3 beats ... Intra-pulmonary shunt (this video ... appear within 3-6 beats ... Bubble #Study #clinical

Nail diseases and disorders.
- Spoon Nails (Koilonychia)
- Pitting of Nails
- Beau's Lines
-

Pitting of Nails - Beau's ... Irregularities #Beaus ... Leukonychia #Table #Clinical

Bell's Sign on Physical Exam

The clinical sign resulting from functional insufficiency of the eyelid orbicularis was

Physical Exam The clinical ... Charles Bell, who bears ... Neurology #Paralysis #Clinical ... #Video #physicalexam

Accelerated Idioventricular Rhythm (AIVR) on EKG
• Regular rhythm with wide.
• QRS complexes >120

ranges from 50-110 beats ... Capture and fusion beats ... Electrocardiogram #clinical

Transverse lines of the fingernails. (A) Beau’s lines (arrows) of the thumbnail. (B) Mees’ lines (arrowheads)

(A) Beau’s lines ... toxin or drug.1, 2 Beau ... nails, including Beau ... FingerNails #Ridges #Clinical

Beau's Lines

Transverse depressed ridges seen in severe infection, MI, hypotension/shock, hypocalcemia, post-surgical, malnutrition and with certain

Beau's Lines ... #Beaus #Lines #Fingernails ... #PhysicalExam #Clinical

Nail Changes - Differential Diagnosis Algorithm
Nail Plate Abnormality
- Trachyonychia
- Discoloration
- Onycholysis
- Pitting

Koilonychia - Beau's

Opioid Overdose Management and Discharge Criteria

Patients with presumed opioid overdose were safely discharged one hour after

Heart rate >50 beats ... /min and <100 beats

Muehrcke's Lines (Leukonychia striata)
Narrow while transverse lines (Not depressed, compared to Beau's lines). Usually 2 or

depressed, compared to Beau's ... #PhysicalExam #Clinical

VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or

Presence of captured beats ... run) and fusion beats

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