633 results
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 ... video #trachea #neck
Acute Mountain Sickness 
Low partial pressure of oxygen at high altitude 
• Stop ascent 
• Supportive
altitude • Stop ascent ... hyperbaric chamber • Descent ... Symptoms #Signs #Diagnosis
Lemierre's Syndrome on Neck POCUS with IJ Thrombosis - Transverse View

Male with high fever and right
right lateral neck ... Recent history of ... Differential/diagnosis ... On ultrasound note ... POCUS #Clinical #Ultrasound
Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
loss of the x descent ... Clinical #Video #Neck
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
copious secretions, Recent ... head/neck surgery ... NAPS) by Nick Mark ... #Ventilation #diagnosis
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... - Prominent x descent ... myxoma - Rapid y descent ... defect - Absent y descent ... #Differential #Diagnosis
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Friedreich's Sign on Neck ... Most likely diagnosis ... (sharp/deep Y-descent ... #Friedreichs #Neck
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Concordant with S1 - X-Descent ... Discordant with S1 - Y-Descent ... Pressure #Algorithm #diagnosis
Cervical Lymphadenopathy - Lymph Node Drainage
Preauricular nodes - Drain scalp, skin
 • Differential diagnosis: Scalp infections,
• Differential diagnosis ... lymphomas, head and neck ... - Drain scalp, neck ... of the head and neck ... oropharynx, anterior neck
RA/CVP Waveform Interpretation

Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
waves and two descents ... blunting of ‘x’ descent ... with TR - ‘x’ descent ... - ‘y’ descent ... Interpretation #Diagnosis