2009 results
Landolfi’s Sign on Physical Exam

A 73-year-old man presented with shortness of breath. On ocular exam, pupil
ocular exam, pupil dilation ... and diastolic dilation ... Landolfis #Sign #PhysicalExam
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
Abscent pupillary dilation ... ophthalmology #physicalexam
Lincoln Sign in Aortic Regurgitation

Lincoln sign is the medical sign consisting of excessive popliteal artery pulsation
which aortic root dilation ... Insufficiency #PhysicalExam
Afferent Pupillary Defect

An afferent pupillary defect passing through its timeline. The pupil that does not react
impression of dilation ... ophthalmology #PhysicalExam
Physical Exam findings in Lower Extremity DVT - Likelihood Ratios
 - Asymmetric calf swelling, ≥2 cm
Superficial venous dilation ... Likelihood #Ratios #PhysicalExam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Slow pupillary dilation ... #Adies #Pupil #PhysicalExam
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
phenomenon of pupillary dilation ... Pupils #MacrusGunn #PhysicalExam
Marcus-Gunn Pupil - Pupillary dilation in response to light on the left eye and a preserved
Pupil - Pupillary dilation ... tuberous #sclerosis #physicalexam
Recommended Follow-up of Treated Syphilis Cases

EVIDENCE OF TREATMENT FAILURE OR POSSIBLE REINFECTION
• Persistence or recurrence of
than 2 weeks) 2-dilution ... to decrease 2 dilutions ... than 2 weeks) 2-ciilution ... decrease at least 2 dilutions
Trick of the Trade: Naloxone Dilution for IV Use - Given that many ED overdose patients
Trade: Naloxone Dilution ... mg/mL naloxone solution ... PCC #Naloxone #Dilution