21 results
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... there is a lack of decrease ... where we may see a positive ... #physicalexam # ... #causes
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
osmolarity If cause ... investigations abnormal ... clinical context and signs ... • Cardio-renal syndrome ... #causes
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
this specific case ... #Reflex #Positive ... #Abnormal #clinical ... #video #neurology ... #PhysicalExam
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
Pisa Syndrome (pleurothotonus ... mobilization or supine position ... Caused commonly ... pleurothotonus #PhysicalExam ... #clinical #neurology
Laboratory Evaluation of Patients for Thyroid Disease 
Hyperthyroidism:
 • Graves disease - TSH low; free T4
high; in some cases ... ; decreased radioactive ... antithyroglobulin antibody positive ... Euthyroid sick syndrome ... #hyperthyroid #differential
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
punctuated by frequent sighs ... hyperventilation syndrome—a ... Occasional sighs ... narrowed airways increase ... #Diagnosis #PhysicalExam
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
/L) • Mildly decreased ... Acute meningeal signs ... • Gram stain: Positive ... 90% • Culture: Positive ... #diagnosis #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Locked-in syndrome ... • Examine for signs ... caseyalbin #PhysicalExam ... #neurology #comatose
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
• Symptoms and signs ... Cauda equina- decreased ... Non-compressive Spinal Cord Causes ... MCTD, Sjogren syndrome ... disorders #diagnosis #neurology