Crescent physicalexam - GrepMed

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Cardiac Auscultation Practice - Aortic Stenosis

Aortic Stenosis: trace a circle over the back of your hand

– you get the crescendo-decrescendo ... Auscultation #Practice #PhysicalExam

Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
• With Every Beat

Concordant with S1 - X-Descent ... Discordant with S1 - Y-Descent ... diagnosis #cardiology #physicalexam

Jugular Waveform Components
• a wave - due to atrial contraction: It occurs just before

• x descent - ... • x descent - ... • y descent - ... Thus the y descent ... Waveforms #JVP #PhysicalExam

Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
- Absent a wave - Atrial fibrillation, sinus

- Prominent x descent ... percarditis - Slow y descent ... myxoma - Rapid y descent ... defect - Absent y descent ... Differential #Diagnosis #PhysicalExam

Campbell’s sign or Tracheal Descent in Longstanding COPD

Patients with longstanding COPD may show downward displacement of

sign or Tracheal Descent ... sign #Tracheal #Descent ... trachea #neck #physicalexam

Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
-

impending infarction - Present ... with history of recent

Kernig's Sign in Meningitis

Kernig's sign is present if the patient, in the supine position with the

Kernig's sign is present ... Clinical #Video #PhysicalExam

Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating

loss of the x descent ... Lancisis #sign #PhysicalExam

Nikolsky's Sign in Toxic Epidermal Necrolysis (TEN)

Nikolsky's sign is a clinical dermatological sign which is present

sign which is present ... almost always present ... where the sign is present ... #Dermatology #PhysicalExam

Chvostek's Sign - Physical Exam - Hypocalcemia

Chvostek's sign is described as the twitching of facial muscles

hypocalcemia and is present ... Chvosteks #Signs #PhysicalExam

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