21 results
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... mortality), Other causes ... airway / remove mask ... secretions, Recent head/neck ... #Ventilation #diagnosis
Kussmaul's Sign on Physical Exam

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

-
Kussmaul's Sign ... What’s the diagnosis ... and other rarer causes ... #physicalexam # ... jvp #cardiology #neck
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
Lower Extremity ... Commonly caused ... nerve at fibular neck ... Dermatomes #Myotomes #diagnosis ... sensory #motor #leg #physicalexam
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
sliding/barcode sign ... pleura in severe cases ... submassive PE) POCUS ... #differential #diagnosis ... #signs #Lung #POCUS
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... jugular venous wave caused ... IJ vein seen on POCUS ... Regurgitation #PhysicalExam ... #Cardiology #Neck
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
the underlying diagnosis ... Causes = RV failure ... pericarditis (this case ... #PhysicalExam # ... Video #Clinical #Neck
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... cyanosis - Cool extremity ... #differential #diagnosis ... #lower #extremity ... #msk #physicalexam
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
on Neck Examination ... Most likely diagnosis ... the underlying cause ... #Friedreichs #Neck ... #JVP #PhysicalExam
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... by pulmonary HTN ... has Kussmaul's sign ... Giant #PHTN #JVP #Neck ... #PhysicalExam #
Lung Findings on Physical Exam
Crackles:
 • Short, discontinuous, sounds mostly heard during inspiration
 • Caused by
inspiration • Caused ... alveoli as seen in pulmonary ... Lung #Findings #Pulmonary ... #PhysicalExam # ... diagnosis #signs