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Demonstration of the parasternal heave using a long Q-tip, known as the "Cooney technique" ( @

the parasternal heave ... systolic parasternal heave ... ParasternalHeave #Heave ... #PhysicalExam #Clinical

Peripheral Blood Smear Analysis
Hypochromia
Megaloblastic Anemia
Schistocytes: Microangiopathic hemolytic anemia (e.g. DIC, TTP, HUS)
Microspherocytes: Autoimmune hemolytic anemia
Sickled red

Alcohol abuse, Heavy ... interpretation #clinical

Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)

and is found to have ... a parasternal heave ... #PhysicalExam #Clinical

Predicting an anatomically and/or physiologically challenging airway is not a straightforward task by any stretch of

tool, called the HEAVEN ... to address this clinical ... Diagnosis #EM #PCC #Heaven

Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
• Congenital Adrenal Hyperplasia
• ACTH

Early Puberty, Heavy ... High Plasma E2 +Clinical

Monoclonal Gammopathy of Clinical Significance (MGUS) - Differential Diagnosis

Neurologic-Centered:
(+) Systemic Features: POEMS, AL amyloid, Cryoglobulinemia

Gammopathy of Clinical ... light chain vs. heavy ... Monoclonal #Gammopathy #Clinical

Pitting Edema on Physical Exam

Edema occurs when fluid that accumulates in tissues leads to swelling. When

swollen area, it may leave ... area may feel heavy ... PhysicalExam #Pedal #Clinical

Laryngeal Cancer seen on Laryngoscopy

60 years old heavy #smoker with new onset #hoarse voice.

#Laryngeal #Cancer

60 years old heavy ... #Laryngoscopy #clinical

Malignant Adrenal Mass - Differential Diagnosis Algorithm
Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout

Early Puberty, Heavy ... High Plasma E2 + Clinical

Rockwood Clinical Frailty Score

There is no single generally accepted clinical definition of frailty. Previously developed tools

Rockwood Clinical ... generally accepted clinical ... assess frailty that have ... transportation, heavy ... Diagnosis #Geriatrics #Clinical

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