11 results
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... month following neck ... consistent with a diagnosis ... ophthalmology #physicalexam ... #neurology #Anisocoria
Kussmaul's Sign on Physical Exam

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

-
What’s the diagnosis ... time there is inability ... Kussmauls #Sign #physicalexam ... clinical #video #jvp ... #cardiology #neck
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Differential Diagnosis ... Osteoarthritis - Overuse syndrome ... Seronegative Reactive Syndrome ... #differential #diagnosis ... #msk #physicalexam
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
Kussmaul's Sign on Neck ... heart failure syndrome ... Kussmauls #Sign #PhysicalExam ... Video #Clinical #JVP ... #Neck #Veins #Cardiology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... • Physiologic Anisocoria ... #Adies #Pupil #PhysicalExam
Characteristic clinical manifestations of Down syndrome 
 
Typical craniofacial appearance 
 • Round face and flat
manifestations of Down syndrome ... anomalies • Short neck ... atlanto-axial instability ... #Downs #Syndrome ... #PhysicalExam #
Facial Swelling - Differential Diagnosis Framework for Facial Edema

Infectious:
	• Dental abscess
	• Ludwig's angina
	• Vincent's angina
	• Cellulitis
	•
- Differential Diagnosis ... of the head and neck ... lymphomas • Head and neck ... #Differential #Diagnosis ... #PhysicalExam
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
Reflexes: • Knee ... • Cauda Equina Syndrome ... nerve at fibular neck ... Dermatomes #Myotomes #diagnosis ... sensory #motor #leg #physicalexam
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... Patellofemoral pain syndrome ... Fever/chills - Inability ... #differential #diagnosis ... extremity #msk #physicalexam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... Pupils: • Anisocoria ... caseyalbin #PhysicalExam