40 results
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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Kussmaul's Sign ... What’s the diagnosis ... sign! ... and other rarer causes ... #Sign #physicalexam
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... Kussmaul's sign ... Kussmaul's sign ... #Sign #physicalexam ... #differential #causes
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... the underlying diagnosis ... Kussmaul's sign ... Causes = RV failure ... #Sign #PhysicalExam
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... and Friedreich's Sign ... Most likely diagnosis ... the underlying cause ... #Neck #JVP #PhysicalExam
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
Differential diagnoses ... for the neuro-ophthalmologic ... Miller-Fisher syndrome ... orbitopathy) • Corneal ... #Causes #Ophthalmology
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... • Ophthalmologic ... Diaphresis, flushing • CNS ... Symptoms #spectrum #signs ... #diagnosis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
"claw hand" ± Horner ... Syndrome Wrist ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... sensory #motor #arm #physicalexam
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
- Differential Diagnosis ... • Sjögren’s syndrome ... hyperviscosity syndrome ... #ophthalmology ... #causes
All About Horner's Syndrome

Horner's syndrome, known as 
"oculosympathetic paresis" by people 
who don't have friends, is
Horner's syndrome ... have friends, is caused ... in 1855 by Ed Horner ... #Overview #Ophthalmology ... #Diagnosis #Neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... • CN VI palsy ... Functional • Corneal ... #Algorithm #Causes ... #Ophthalmology