23 results
Muehrcke's Lines (Leukonychia striata)
Narrow while transverse lines (Not depressed, compared to Beau's lines). Usually 2 or
depressed, compared to Beau's ... Seen in states of decreased ... protein synthesis or increase ... #Fingernails #PhysicalExam ... Clinical #Photo #Sign
The Febrile Child - some diagnostic clues to evaluating the febrile child.

#Febrile #Fever #Evaluation #Assessment #Signs
some diagnostic clues ... Evaluation #Assessment #Signs ... #Symptoms #PhysicalExam ... #Diagnosis #Peds
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... Cause - Decreased ... - Gitelman SIGNS ... acidosis - Cl⁻ decrease ... Differential #Diagnosis #Algorithm
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP decreases ... there is a lack of decrease ... or increase in ... #physicalexam # ... #differential #causes
Clinical features of shock from dehydration in an infant

Decreased level of consciousness 
Sunken fontanelle 
Dry mucous
in an infant Decreased ... Extremities #PhysicalExam ... #Signs #Symptoms ... #Dehydration #Peds
Pediatric Dyspnea - Differential Diagnosis Algorithm
Stridor:
 • Croup
 • Foreign Body
 • Tracheitis
 • Epiglottitis
 •
Differential Diagnosis Algorithm ... Foreign Body Decreased ... Differential #Diagnosis #Algorithm ... #Causes #Peds #
The Chvostek sign (/ˈkvɒstɪk/) is a clinical sign of existing nerve hyperexcitability (tetany) seen in hypocalcemia.It
The Chvostek sign ... is a clinical sign ... hyperventilation, which causes ... decreased serum ... #Hypocalcemia #PhysicalExam
Paradoxical Breathing on Physical Exam

Paradoxical breathing is often a sign of breathing problems. It causes the
breathing is often a sign ... It causes the chest ... Paradoxical #Breathing #PhysicalExam ... video #pulmonary #peds
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 ... rhythm (initial 3 beats ... #Lancisis #sign ... Regurgitation #PhysicalExam
Transverse lines of the fingernails. (A) Beau’s lines (arrows) of the thumbnail. (B) Mees’ lines (arrowheads)
(A) Beau’s lines ... the nails can be caused ... are a typical sign ... paired white lines caused ... Ridges #Clinical #PhysicalExam