86 results
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... Her clinical exam ... Her ocular exam ... pack test were negative ... #PhysicalExam #clinical
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Clinical Manifestations ... Ophthalmologic: Mydriasis, Ocular ... shock) Spectrum of Clinical ... Hyperthermia UCSD
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Susceptibilities, Negative ... Complications • Ocular ... week to assess ocular ... or TEE unless clinical
Landolfi’s Sign on Physical Exam

A 73-year-old man presented with shortness of breath. On ocular exam, pupil
On ocular exam, ... #PhysicalExam #Clinical ... #Video #Ocular ... AorticRegurgitation #Cardiology
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
up, slow down; "negative ... • V1: Broad & negative ... electrocardiogram #cardiology ... #clinical #diagnosis
Dextrocardia on EKG
 • Limb leads look like LA ←→ RA transposition
 • V1 ←→ V2
predominantly negative ... electrocardiogram #cardiology ... #diagnosis #clinical
Oroya Fever
Hematologic disease caused by Bartonella bacilliformis
Restricted to the Andes highlands of Peru & Ecuador
B. bacilliformis:
bacilliformis: - Gram negative ... Lutzomyia verrucarum Clinical ... toxo reactivation Clinical ... : ​• Miliar → Nodular ... → Mular DIAGNOSIS
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... histiocytosis: early nodular ... #Clinical #Radiology ... HRCT #CTChest #Nodular
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... #Clinical #Radiology ... HRCT #CTChest #Nodular
Here are the most common examples of these four patterns on a chest x-ray (click image
opacities - Fine Nodular ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR