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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
Fern test. Fern test refers to detection of a characteristic 'fern like' pattern of cervical mucus
pattern of cervical mucus ... specimen of cervical mucus
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Beck’s triad), pulsus
Abnormalities of the Arterial Pulse and Pressure Waves.
 - Small, Weak Pulses 
 - Large, Boundlng
Bisferiens Pulse - Pulsus