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Recognition of a pneumothorax depends on the volume of air in the pleural space and the
for is the 'deep sulcus ... There is a deep sulcus ... Tension #Deep #Sulcus ... #DeepSulcus #Sign
Sulcus Sign on Shoulder Exam

Positive sulcus sign in a shoulder with multidirectional instability.

Downward force applied at
Sulcus Sign on Shoulder ... Exam Positive sulcus ... iamDrHamilton #Sulcus
Arterial Lines - Abnormal Arterial Waveforms:
 - Underdampened: Falsely High BP - Adjust monitor filter settings
hypotension - Pulsus ... Pericarditis - Pulsus ... Cardiomyopathy - Pulsus ... Aortic Stenosis - Pulsus
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Normal variant Pulsus ... heart failure Pulsus ... Anacrotic • Pulsus ... amplitude) • Pulsus
Calf Muscles - Posterior Compartment - Superficial and Deep Leg Muscles
 - Gastrocnemius
 - Plantaris
 -
- Plantaris - Soleus
How to measure Pulsus Paradoxus
 - Step 1: Take a normal manual blood pressure to determine
How to measure Pulsus ... Point 2 is your pulsus ... Surbhi_Singhal2 #Pulsus
Arterial Lines & Waveforms
Arterial lines permit continuous invasive blood pressure measurement, frequent arterial blood sampling, and
WAVEFORM PATTERNS • Pulsus ... shock states • Pulsus ... severe AR ± AS • Pulsus
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Beck’s triad), pulsus
Fern test. Fern test refers to detection of a characteristic 'fern like' pattern of cervical mucus
pattern of cervical mucus ... specimen of cervical mucus
Abnormalities of the Arterial Pulse and Pressure Waves.
 - Small, Weak Pulses 
 - Large, Boundlng
Bisferiens Pulse - Pulsus