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Clarke's Test (Patellar Grind Test) Indicates Patellofemoral dysfunction. - Patient with knee in extension. Push posterior on
of patella then ask ... perform active contraction ... Patellar #Grind #clinical ... Patellofemoral #msk
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 Midcarpal Instability (MCI) of the Wrist Intrinsic Midcarpal Instability Usually affects young, hypermobile patients. It is due to progressive
is a reactive contraction ... Instability #Wrist #msk ... #orthopedics #clinical
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 Landolfi’s Sign on Physical Exam A 73-year-old man presented with shortness of breath. On ocular exam, pupil
pupil dilation and constriction ... refers to systolic contraction ... #PhysicalExam #Clinical
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 Pathophysiology Of Constriction Exaggerated Ventricular Interdependence: • Limited Cardiac Filling due to Fixed Volume → Septum Shifts
Pathophysiology Of Constriction ... expiration ↓ • Constriction ... - With constriction ... capillaries but constriction ... #constrictive #
Clay-Shoveler Fracture - Avulsion fracture of spinous process of C6 or C7 (Stable fracture) -
the neck with contraction ... Fracture #Diagnosis #MSK ... SpinousProcess #MSK
Pericardial Constriction on Echocardiogram with Septal Bounce Fantastic example of pericardial constriction. Not only a nice septal
Pericardial Constriction ... of pericardial constriction ... #Pericardial #Constriction ... Echocardiogram #clinical
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 Constrictive Pericarditis on Echocardiogram - Apical 4 Chamber View Constrictive pericarditis with Septal bounce, ventricular interdependence Dr. James
Constrictive Pericarditis ... Chamber View Constrictive ... jimmy_nardel #Constrictive ... #Pericarditis #clinical
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 Kussmaul's Sign on Physical Exam What’s the diagnosis? Severe biventeicular failure with + Kussmaul sign! NICM. No constriction! -
No constriction! ... DDx includes constriction ... #physicalexam #clinical
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 Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm Physiological - Simple Anisocoria ( <O.5mm) - Anisocoria equal
symmetrically IMPAIRED CONSTRICTION ... opthalmoplegia, Constriction ... Postganglionic - Constriction ... Junction - No constriction
RA/CVP Waveform Interpretation Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
- ‘a’ wave (RA contraction ... ” caused by RA contraction ... systole): ↑ in constrictive ... ) Steep ↑ with constrictive
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