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"Liver palms"
Palmar erythema

#clinical #diagnosis #PhysicalExam
#hands #liver #hepatology #cirrosis
#photo

"Liver palms" Palmar ... erythema #clinical ... #diagnosis #PhysicalExam ... #hands #liver ... hepatology #cirrosis #photo

Marcus Gunn Phenomenon - Jaw Winking Syndrome

Jaw-winking syndrome is thought to be caused by abnormal innervation

- Jaw Winking Syndrome ... Jaw-winking syndrome ... thought to be caused ... #clinical #video ... #neurology #physicalexam

Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins

Pemberton's Sign caused ... Elevating the arms causes ... superior vena cava syndrome ... Thyroid #Goiter #PhysicalExam ... #clinical #video

Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
- Acute myocardial infarction
- Pulmonary embolism or

Noninfectious Causes ... of Fever CRITICAL ... Neuroleptic malignant syndrome ... Postmyocardiotomy syndrome ... #Causes #Differential

Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals

Diagnosis and Management ... renal failure Clinical ... Specific sarcoidosis syndromes ... • Heerfordt syndrome ... Sarcoidosis #Diagnosis #Management

Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic

Causes of spinal ... • Extrinsic Causes ... • Intrinsic Causes ... symptoms at the level ... infarction which can be caused

Fever vs Hyperthermia
Fever:
• Regulated in the hypothalamic thermoregulatory center
• "Set point" raised by prostaglandin

rapidly fatal • Causes ... Neuroleptic malignant syndrome ... ; Serotonin syndrome ... Identify underlying cause ... comparison #diagnosis #management

Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a

39 C this is a clinical ... Actively maintained fever ... CAUSES OF HYPERTHERMIA ... #Differential #Causes ... Checklist #Diagnosis #Management

Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen

advanced age, liver ... #Fingernails #PhysicalExam ... #Clinical #Photo

Janeway Lesions in Endocarditis seen on Physical Exam

Dr Supradip Ghosh
@dr_supradip

36 year old male with history

sister shared these photos ... with persistent fever ... - Clinical examination ... #Endocarditis #PhysicalExam ... #clinical #photo

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