9 results
Kussmaul's Sign on Physical Exam

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

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What’s the diagnosis ... DDx includes constriction ... #physicalexam # ... clinical #video ... #jvp #cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
on her chest (photo ... the underlying diagnosis ... #PhysicalExam # ... Video #Clinical ... Pericarditis #Cardiology
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Most likely diagnosis ... blue-colored spot on the skin ... + XRT tattoo = constrictive ... Friedreichs #Neck #JVP #PhysicalExam ... #Clinical #Video
Cryoglobulinemia Summary

Cryoglobulins:
 • Cryoglobulins are Igs in the serum that precipitate in vitro at temperatures below
Syndrome: • Clinical ... • Infections: HCV ... infection, HBV ... infection, HIV infection ... DDX: • ANCA (Antineutrophil
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
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aphthous ulcers, cutaneous ... purpura: strong sign ... CTD) • ANCA (Dx ... Cryoglobulins • HIV ... • HBV HCV
Cutaneous Mucormycosis Eschar
30 M HIV cd4 10 VL 30k traumatic injury of arm few months ago
Eschar 30 M HIV ... Diagnosis? ... malnutrition, HIV ... & steroid use Dx ... #clinical #photo
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... Vasculitis Differential Diagnosis ... purpura: Strong sign ... HTN • Check: HBV ... drug exposure or Dx
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
about 70 years, HIV ... in addition to signs ... spider angiomas and skin ... Fingernails #Hands #PhysicalExam ... #Clinical #Photo
Cryptococcal meningitis on T2 MRI
30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
Cryptococcal meningitis, hiv ... DDX Tb meningitis ... organism (soap bubble sign ... on mri) HIV-infected ... #radiology