35 results
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Evaluation Flow Chart ... pupillary reaction to light ... pupil size in bright ... - Horner's Syndrome
Horner's Syndrome: Loss of sympathetic nervous system input to (in this case) right eye. 
Note that
Horner's Syndrome ... Note that right ... Also that right ... Ophthalmology #Photo ... #Horners #Syndrome
Muehrcke's Lines (Leukonychia striata)
Narrow while transverse lines (Not depressed, compared to Beau's lines). Usually 2 or
and nephrotic syndrome ... #Fingernails #PhysicalExam ... #Clinical #Photo
Peripheral Edema - Differential Diagnosis Framework for Lower Extremity Edema

Edema occurs when any of the following
• May-Thurner Syndrome ... • SVC syndrome ... resolves after the right ... crosses under the right ... Lower #Extremity #PhysicalExam
Pemberton's sign- Suggests SVC syndrome, Neck Mass

The Pemberton maneuver is a physical examination tool used to
- Suggests SVC syndrome ... superior vena cava syndrome ... Pembertons #sign #PhysicalExam ... #Clinical #Photo
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
pupil (4-6mm); • Light-near ... when reexposed to light ... Holmes-Adie Syndrome ... asymmetry in dark and light ... #Adies #Pupil #PhysicalExam
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
sweats/Weight loss ... Non-weight bearing ... Osteoarthritis - Overuse syndrome ... Seronegative Reactive Syndrome ... diagnosis #msk #physicalexam
Cushing's Syndrome - Moon Facies, Buffalo Hump, Abdominal Striae, Thin Skin

A young man presents with rapid
Cushing's Syndrome ... presents with rapid weight ... gain (license photo ... #Cushings #Syndrome ... Striae #Clinical #Photo
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... lower) of the right ... diagnosis of Horner's syndrome ... highlights how the right ... ophthalmology #physicalexam
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
PNEUMONIAS: • Weight ... Less common since cART ... Pneumonia: • 3 syndromes ... of a "flu-like syndrome ... , headache and high