21 results
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
rigors, diarrhea, nausea ... Ddx? ... Ddx is very broad ... Final dx: Septic ... Rash #clinical #photo
Biot's Respiration on Physical Exam
Biot's respiration is an abnormal pattern of breathing characterized by groups of
periods of apnea DDx ... : neurological causes ... Breathing #clinical #video
Paradoxical Breathing on Physical Exam

Paradoxical breathing is often a sign of breathing problems. It causes the
It causes the chest ... DDx includes flail ... respiratory #clinical #video
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
on her chest (photo ... evaluate her JVP (video ... Causes = RV failure ... pericarditis (this case ... #PhysicalExam #Video
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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DDx includes constriction ... and other rarer causes ... physicalexam #clinical #video
Downbeat Nystagmus on Physical Exam

65 year old female with new walking difficulty and dizziness. Why downbeat
Downbeat Nystagmus ... Why downbeat nystagmus ... corrective movement causes ... downbeat 'fast' ... PhysicalExam #clinical #video
Chattering on ECMO
What is chattering? If you look closely at this video clip, the tubing is
closely at this video ... A common fix is ... Another fix is to ... blood cells and cause ... chatter #clinical #video
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
Dx? ... dogs & latter can cause ... gram-negative bacillus cause ... inflammation persist → DIC ... dermatology #clinical #photo
Moccasin-variety Tinea Pedis 
70 M chronic scaly feet. Over the years: rash has itched only occasionally;
dermatophytes cause ... most often seen DDX ... type #clinical #photo
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
around his left eye six ... other potential causes ... the condition, case ... steroids (some cases ... HZO #clinical #video