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Figure 2. The “laryngeal handshake,” from left to right: 1) hyoid, 2) thyroid, 3) cricoid, and
cricoid, and 4) palpation ... #CriticalCare #LaryngealHandshake ... Cricothyrotomy #Palpation
Thyroid Goiter on Physical Exam - Likelihood Ratios by Finding
 • No goiter by palpation or
• No goiter by palpation ... 0.4 • Goiter by palpation ... Significant • Goiter by palpation
Jugular Venous vs Carotid Arterial Pulsations on Physical Exam

Jugular Venous Pulsations
• Well appreciated by inspection than
inspection than palpation ... appreciated by palpation
Shoulder Examination

Step 1 Inspection
Step 2 Palpation (ABCs)
Step 3 Range of Motion and Strength (SITS)
Step 4 Provocative
Inspection Step 2 Palpation
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Direct palpation
Quincke's sign with flashlight - rhythmic pulsation of the ointment bed, especially when slightly compressing the
flashlight - rhythmic pulsation ... #PhysicalExam #Pulsation
Abnormal pulsation in the neck in the setting of Aortic Coarctation

10 yo male,  his father
Abnormal pulsation ... note an abnormal pulsation ... mariovar55 #Neck #Pulsation
Hypoplastic Left Heart Syndrome (HLHS)
 • Introduction
 • Embryology
 • Anatomy
 • Physiology of HLHS
 •
Typical Staged Palliation ... Goals of Stage 1 Palliation
Jugular Venous Pulse - POLICE Mnemonic - How to tell JVP from carotid pulse
P - Palpation:
carotid pulse P - Palpation
Severe Tricuspid Regurgitation demonstrated in the Cephalic Vein

Patient with severe pulmonary hypertension and severe tricuspid regurgitation.
Jugular vein pulsation ... way of measuring pulsation