1345 results
Thyroid Goiter on Physical Exam - Likelihood Ratios by Finding
 • No goiter by palpation or
• No goiter by palpation ... 0.4 • Goiter by palpation ... visible only after neck ... Significant • Goiter by palpation ... inspection in neck
Abnormal pulsation in the neck in the setting of Aortic Coarctation

10 yo male,  his father
Abnormal pulsation ... in the neck in ... note an abnormal pulsation ... in the neck asymptomatic ... mariovar55 #Neck
Jugular Venous vs Carotid Arterial Pulsations on Physical Exam

Jugular Venous Pulsations
• Well appreciated by inspection than
inspection than palpation ... appreciated by palpation ... Venous #Arterial #Neck
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Direct palpation ... Diagnosis #Algorithm #MSK
Jugular Venous Pulse - POLICE Mnemonic - How to tell JVP from carotid pulse
P - Palpation:
carotid pulse P - Palpation ... #PhysicalExam #Neck
Clay-Shoveler Fracture 
 - Avulsion fracture of spinous process of C6 or C7 (Stable fracture)
 -
flexion of the neck ... contraction of lower neck ... Fracture #Diagnosis #MSK ... SpinousProcess #MSK
Figure 2. The “laryngeal handshake,” from left to right: 1) hyoid, 2) thyroid, 3) cricoid, and
cricoid, and 4) palpation ... Cricothyrotomy #Palpation
Lancisi's sign on Physical Exam
Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
appears as a large pulsation ... Clinical #Video #Neck
Shoulder Examination

Step 1 Inspection
Step 2 Palpation (ABCs)
Step 3 Range of Motion and Strength (SITS)
Step 4 Provocative
Inspection Step 2 Palpation
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Examination of the neck ... monomorphic venous pulsation ... Clinical #Video #Neck