25 results
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
Physical Exam 53-year-old ... relaxation of the ankle ... evaluation confirmed a diagnosis ... #PhysicalExam # ... Hypothyroidism #Ankle
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
- Differential Diagnosis ... • Meningeal signs ... ) • Systemic symptoms ... and signs (e.g. ... arteritis • Acute angle
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
- Differential Diagnosis ... - Autonomic symptoms ... meningeal irritation signs ... : - Acute angle-closure ... #differential #diagnosis
Signs and Symptoms Associated With Different Headache Etiologies
 • Nonfocal mental status changes - Meningitis, encephalitis,
Signs and Symptoms ... pressure, acute-angle ... pupils - Acute angle ... #signs #symptoms ... #differential #diagnosis
Headache Syndromes 
Sudden onset of pain - "Thunder clap" with any decreased mentation, any positive focal
with stroke-like symptoms ... venous thrombosis Near ... arteritis or acute angle ... #Syndromes #diagnosis ... #symptoms
Clinical Features of Infective Endocarditis

General 
 - Malaise 
 - Clubbing 

Cardiac 
 - Murmurs
Eyes - Roth spots ... #Endocarditis #Symptoms ... #Signs #Features ... #PhysicalExam # ... Diagnosis
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
Dangerous Causes of Headache ... work) - acute angle ... thrombophilia, neurologic signs ... dental infection: ear ... postpartum #Diagnosis
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
vertigo (BPPV) - Short-lived ... occur during the headache ... 24% always had headache ... varying neurologic signs ... #differential #diagnosis
Windlass Test for Plantar Fasciitis

Passive extension of the great toe with the ankle in dorsiflexion. A
great toe with the ankle ... A positive sign ... plantar fascia symptoms ... clinical #video #physicalexam ... podiatry #msk #sports
Floaters - Differential Diagnosis Framework

What?
Vitreous Floaters:
• Microscopic collagen fibers within the vitreous that tend to clump
- Differential Diagnosis ... Patients As: • Black spots ... the vision • Spots ... Retinal Detachment: Symptoms ... with onset of a headache