42 results
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential Algorithm ... • Periodic paralysis ... #Differential #Algorithm ... Diagnosis #Causes #Workup
Paradoxical Respirations in Diaphragmatic Paralysis

Note the paradoxical movement of the abdomen during inspiration. The accessory inspiratory
Diaphragmatic Paralysis ... Diaphragmatic #Paralysis ... Clinical #Video #PhysicalExam
Physical Exam Findings Predicting Thyroid Carcinoma - Likelihood Ratios
If goiter is present:
 • Cervical adenopathy -
• Vocal cord paralysis ... • Vocal cord paralysis ... Thyroid #Carcinoma #PhysicalExam
Ortner's (Cardiovocal) Syndrome - Left Vocal Cord Paralysis on Laryngoscopy

A 42 yo presented with a hoarse
Left Vocal Cord Paralysis ... Work up led to a ... #Vocal #Cord #Paralysis
Hypokalemia Differential Diagnosis Algorithm

Low intake 
• poor oral intake 

Renal loss 
• Medication 
• Hypomagnesemia 
•
Differential Diagnosis Algorithm ... Hypokalemic periodic paralysis ... Differential #Diagnosis #Algorithm
Bell's Phenomenon on Physical Exam

Carles Bell realized that when trying to close the eye on the
peripheral facial paralysis ... clinical #video #PhysicalExam
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Differential Diagnosis Algorithm ... Hypokalemic periodic paralysis ... Differential #Diagnosis #Algorithm
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
• Vocal cord paralysis ... • Vocal cord paralysis ... pulmonary #airway #physicalexam
Paradoxical Breathing on Physical Exam

Paradoxical breathing is often a sign of breathing problems. It causes the
and diaphragm paralysis ... Paradoxical #Breathing #PhysicalExam
Train of Four monitoring is commonly used by anesthesiologists to determine the adequacy of paralytic agents
the adequacy of paralytic ... why and how it works