1916 results
Bilateral LMN palsy with tongue weakness, wasting and fasciculations.  →  Bulbar motor Neuron disease

Note
Bilateral LMN palsy ... fasciculations #LMN ... #CNXII #CN12 #clinical ... video #neurology #physicalexam
Tongue Fasciculations Secondary to Hypoglossal Nerve Damage

Most commonly associated with ALS - This LMN XII was
with ALS - This LMN ... Fasciculations #PhysicalExam ... #Clinical #Video
Cushing Syndrome - Likelihood Ratios of Physical Exam Findings
Moon facies LR +1.6
Central obesity LR +3.0
Generalized obesity
Central obesity LR ... Thin skinfold LR ... 115.6 Plethora LR ... +NS Ecchymoses LR ... #Ratios #LRs #PhysicalExam
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
Barrel Chest - LR ... Lip Breathing - LR ... breath sounds - LR ... sternal border - LR ... SatyaPatelMD #COPD #PhysicalExam
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 •
Rhabdomyolysis, Critical ... stroke, tumor), LMN ... inclusion body-), PMR
Physical Exam findings in Lower Extremity DVT - Likelihood Ratios
 - Asymmetric calf swelling, ≥2 cm
cm difference - LR ... venous dilation - LR ... of entire leg - LR ... skin warmth - LR ... Likelihood #Ratios #PhysicalExam
Thyroid Goiter on Physical Exam - Likelihood Ratios by Finding
 • No goiter by palpation or
or inspection - LR ... normal position - LR ... Thyroid #Goiter #PhysicalExam ... #diagnosis #LR
Health Maintenance Checklist for Adult IBD Patients

Vaccine Preventable Diseases: Influenza (inactive), Pneumococcal PCV13, Pneumococcal PPSV23, Tdap,
, Hepatitis B, MMR ... Checklist #hcm #gastroenterology
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
Likelihood Ratios +LR ... S3 • AFib -LR ... #heartfailure #physicalexam
Physical Exam Findings Predicting Thyroid Carcinoma - Likelihood Ratios
If goiter is present:
 • Cervical adenopathy -
Cervical adenopathy - LR ... surrounding tissues - LR ... cord paralysis - LR ... cord paralysis - LR ... Thyroid #Carcinoma #PhysicalExam