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Positive Drop Arm Test on Shoulder Exam - Supraspinatus Injury

Starting from 90 degrees of passive shoulder

release support and ask ... slowly control the descent ... Sign #Shoulder #PhysicalExam ... clinical #video #msk

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

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

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

Acute Mountain Sickness
Low partial pressure of oxygen at high altitude
• Stop ascent
• Supportive

altitude • Stop ascent ... hyperbaric chamber • Descent

Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in

Tracheal Descent ... #Tracheal #Descent ... clinical #video #physicalexam

Reduction of Posterior Elbow Dislocation

#Elbow #Dislocation #Reduction #Posterior #clinical #video #msk #sports #orthopedics #physicalexam

clinical #video #msk ... #orthopedics #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

Clarke's Test (Patellar Grind Test)

Indicates Patellofemoral dysfunction.
- Patient with knee in extension. Push posterior on

of patella then ask ... clinical #video #physicalexam ... Patellofemoral #msk

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