33 results
Knuckle Sign on ECG - Acute Pericarditis

Electrocardiogram of a 68-year-old woman two days after coronary artery
Knuckle Sign on ... effusion seen on an echocardiogram ... elevation (‘knuckle’ sign ... aVR #Knuckle #Sign ... #Clinical #LeadAVR
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... #A4c #clinical ... cardiology #McConnells #sign
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
to Headaches - Differential ... Diagnosis Algorithm ... • Meningeal signs ... Systemic symptoms and signs ... #Diagnosis #Algorithm
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
states of stress (e.g ... #PhysicalExam #Clinical ... #Photo #Sign
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
- CBC with differential ... diagnostics as clinically ... echocardiogram, ... EKG) Dr. ... iBookCC #COVID19 #algorithm
Problem Representation - Approach to the Infectious Disease Patient

Who: Patient age and host/risk factors (such as
, splenectomy, etc ... illness What: Key signs ... that define the clinical ... illness script (e.g
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Diagnostic Approach and Differential ... than one cause (e.g ... carcinomatosis, HF, etc ... dullness, puddle sign ... incisional). 3) Signs
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Disorders Testing Algorithm ... organ-specific signs ... or symptoms (eg ... Eosinophil #Disorders #Algorithm ... #Differential #
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
painless, no systemic signs ... biopsy preferred Differential ... Sporotrichiosis #Infection #clinical ... #photo #hand
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... excludes other differentials ... that’s called “clinical ... ’s called Frog sign ... Cardiology #Neck #Frog #Sign