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Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever

Rouleaux Flow on POCUS ... significantly, it causes ... echogenic as in this case ... for underlying cause ... Jugular #IJ #Vein #POCUS

Gowers' Sign on Physical Exam

Seen in this patient with Duchenne muscular dystrophy (DMD)

#Gowers #Sign #PhysicalExam #neurology

muscular dystrophy (DMD ... #Gowers #Sign #PhysicalExam ... muscular #dystrophy #DMD

Clinical Bedside Odors and Causes:
Metabolic, Toxins, Infectious

#Odors #Bedside #PhysicalExam #Causes #Differential #Smells

Bedside Odors and Causes ... Odors #Bedside #PhysicalExam ... #Causes #Differential

Type 2 Diabetes - Screening, Diagnosis and Management Algorithm
Lifestyle Modifications (Diet and Exercise) -> Start

relative with DM2 ... associated with DM ... • Secondary Causes ... Management #algorithm #DM2

Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins

Pemberton's Sign caused ... Elevating the arms causes ... Thyroid #Goiter #PhysicalExam

Clinical Examination of the Patient with Diabetes

#Diabetes #DM #PhysicalExam #Diagnosis #Signs #Examination

#Diabetes #DM ... #PhysicalExam #

D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI

Index (EI) = D2/D1 ... ” EI > 1 - POCUS ... diagnosis #cardiology #pocus

Marcus Gunn Phenomenon - Jaw Winking Syndrome

Jaw-winking syndrome is thought to be caused by abnormal innervation

thought to be caused ... Most cases are congenital ... video #neurology #physicalexam

Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency

Secondary Causes ... 90 (>130/80 for DM ... end-organ damage or DM ... withdrawal Anatomic Causes ... RAS Metabolic Causes

Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
• Abduction - C5,C6 (axillary)
• Adduction - C6, C7,

Erb's Palsy is caused ... palsy" is a common cause ... Tunnel Syndrome - Causes ... Dislocation - May cause ... sensory #motor #arm #physicalexam

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