13 results
Pulsatile AAA on Abdominal Exam

A 66-year-old man presented with a 2-month history of abdominal bloating and
Pulsatile AAA on ... bloating and worsening ... #Abdominal #PhysicalExam ... Aorta #Clinical #Video ... #NJEM #vascular
Age-Related Macular Degeneration (AMD) on Fundoscopy Ocular Examination

The left eye shows the terminal stage of an
Age-Related Macular ... , secondary to wet ... Macular #Degeneration ... #Ocular #PhysicalExam ... #clinical #video
Age Related Macular Degeneration: Pathogenesis and clinical findings

Photoreceptor atrophy 
-> Extracellular debris (drusen) from RPE atrophy/metabolism
Age Related Macular ... from choroid to retina ... • Wet ARMD - ... Amsler grid) - Macular ... Asymptomatic (early disease
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
to 40 years of age ... (panuveitis, retinal ... diplopia) • Vascular ... • Nonsurgical abdominal ... Glucocorticoids 5-ASA
Paraproteinemias

Entities That Can Feature A Monoclonal Protein/M Component:
• MM
• WM
• MGUS
• MGCS
• MGRS
• Splenic Marginal Zone
• Heavy Chain disease ... Hypergammaglobulinemic macular ... ↓anion gap • CRAB ... (Thrombosis in vascular ... beds-renal, retinal
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
, and ocular inflammation ... - GI tract: abdominal ... Takayasu: - Age ... temporal artery - Age ... Supply gut -> abdominal
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Disruptions in vascular ... • Extremes of age ... Skin biopsy • Abdominal ... ultrasound # ... #dermatology #physicalexam
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Ischemic heart disease ... Age 4. ... - Peripheral vascular ... undergoing AAA ... or upper abdominal
Muscle Fasciculations on Physical Exam

81 year old patient. History of swallowing disorders, weight loss and muscle
Lower motor neuron disease ... the finding of muscular ... importance, if they are ... Fasciculations #Twitching #PhysicalExam ... #Clinical #Video
In parkinsonian patients, distal dystonic phenomena, mainly in the hands and feet, can occur and are
are called striatal ... , we have adduction ... #Parkinsons #Disease ... #Parkinsonian #resting ... Hands #Neurology #PhysicalExam