29 results
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
improvement in the rash ... other potential causes ... the condition, case ... Ophthalmicus #HZO #clinical ... #physicalexam #neurology
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
low frequency, high ... near arm tremor caused ... Wilsons #Disease #clinical ... #video #neurology
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
Fulminans Skin Rash ... rigors, diarrhea, nausea ... fulminans) and critical ... to think about high ... #clinical #photo
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
“Muddy Brown” Casts ... of mb granular casts ... field compared to high ... Urine #Microscopy #Clinical ... #Nephrology #Sediment
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
tumors along the apex ... experience, the cause ... surgery; as in our case ... Horners #Syndrome #clinical ... #physicalexam #neurology
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
red blood cells/high-power ... maculopapular rash ... vesicular rash, ... Nephrocalcinosis causes ... nephrotic #syndrome #nephrology
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
low frequency, high ... near arm tremor caused ... Wilsons #Disease #clinical ... #video #neurology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... Burns • Trauma/Crush ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Dropped Foot Gait - Paralysis of Dorsal Flexion of the Foot.
When trying to walk the tip
avoid this, he raises ... peroneal nerve, which causes ... flexion of the thigh ... DroppedFoot #Gait #Neurology ... #PhysicalExam #clinical
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... Burns • Trauma/Crush ... differential #diagnosis #causes ... #potassium #high ... #nephrology