1951 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 ... #COPD #clinical ... trachea #neck #physicalexam
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent ... #Tracheal #Descent ... #Sign #clinical ... #video #physicalexam
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
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 ... #Waveform #Clinical
Causes of Approach to Altered Level of Consciousness - Workup
Clinical Exam - Focal
 • Trauma
 •
Consciousness - Workup ... Clinical Exam ... Imaging Section Clinical ... Refer to Blood Work ... #diagnosis #workup
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
Usually bilateral - Abscent ... ophthalmology #physicalexam
Algorithm for the Evaluation and Management of Sickle Cell Crises
Clinical Manifestations and Management

#Diagnosis #Management #Hematology #SickleCell
Sickle Cell Crises Clinical ... Manifestations #Workup
Gynecomastia - Differential Diagnosis a
nd Workup Algorithm
Gynecomastia is common in clinical practice, affecting ~50% of males
Diagnosis a nd Workup ... Gynecomastia is common in clinical ... Differential #Diagnosis #Workup