57 results
Thyroid Goiter in Severe Hypothyroidism on Neck Physical Examination

TSH 124. Hashimoto’s, lost to care and thyroid
Note the neck mass ... #Thyroid #Mass # ... #PhysicalExam #clinical ... endocrinology #Hashimotos #otolaryngology
Retrosternal Thyroid Goiter on Physical Exam

Note the movement with swallowing, indicating a thyroid mass.

#Retrosternal #Thyroid #Goiter
indicating a thyroid mass ... #PhysicalExam #clinical ... endocrinology #neck #mass ... #otolaryngology
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
#PhysicalExam #clinical ... vascular #neck #mass ... SVC #Syndrome #otolaryngology
Labyrinthitis 
Vestibular neuritis + unilateral hearing loss = Labyrinthitis 
1) Vertigo (severe) 
2) Gait instability 
3)
hearing loss Clinical ... fixation) • Positive ... Symptoms #Signs #Otolaryngology
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Benign Adrenal Mass ... High Plasma E2 +Clinical ... Releasing Adenoma (Positive ... :Renin Ratio) Positive ... Non-Functioning Mass
Malignant Adrenal Mass - Differential Diagnosis Algorithm
Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Malignant Adrenal Mass ... Vascularity of Mass ... High Plasma E2 + Clinical ... Releasing Carcinoma (Positive ... Renin Ratio) Positive
Free fluid + empty uterus + positive pregnancy test = better start looking for a mass!
If
empty uterus + positive ... looking for a mass ... #Transvaginal #Clinical
Pemberton's sign- Suggests SVC syndrome, Neck Mass

The Pemberton maneuver is a physical examination tool used to
syndrome, Neck Mass ... A positive Pemberton's ... A positive Pemberton's ... the result of a mass ... #PhysicalExam #Clinical
Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.
-chamber POCUS echocardiogram ... collection to miss ... effusion #s4c #POCUS #echocardiogram ... #POCUS #clinical
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
Major Criteria: • Positive ... - Persistently positive ... - Single positive ... involvement - Echocardiogram ... positive for IE