12 results
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
on her chest (photo ... her JVP (video) ... #PhysicalExam # ... Video #Clinical ... #Neck #JVP #Jugular
The diagonal crease in the lobe of the ear (Frank's sign) is a sign theoretically related
coronary artery disease ... coronary disease ... : 17891926 #PhysicalExam ... Earlobe #Clinical ... #Photo
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
excludes other differentials ... “clinical electrophysiology ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
Darker distal band ... advanced age, liver disease ... #Fingernails #PhysicalExam ... #Clinical #Photo ... #Sign
Kussmaul's sign in a patient with suspected pulmonary embolism

 - Dr. David Juurlink
@DavidJuurlink

Kussmaul sign is a
Kussmaul's sign ... forms of heart disease ... and is usually ... #PhysicalExam # ... Clinical #Video
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
painless, no systemic signs ... biopsy preferred Differential ... University Infectious Diseases ... Sporotrichiosis #Infection #clinical ... #photo #hand
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
elevated JVP. ... function, no valvular disease ... Workup for cause ... highest on my differential ... AorticRegurgitation #Diagnosis #PhysicalExam
Pickelhaube Sign on Echocardiogram
Pickelhaube sign may be seen in mitral valve prolapse (MVP): High velocity (≥
Pickelhaube Sign ... valve prolapse (MVP ... indicates malignant phenotype ... myxomatous mitral valve disease ... POCUS #cardiology #clinical
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup ... and Differential ... signs of end-organ ... 109 mm Hg) with clinical ... Renal parenchymal disease
Lindsay's Nails (Half-and-half Nails)
Distal brown transverse band seen in kidney disease. Caused by increased pigment deposition.

#Lindsays
brown transverse band ... seen in kidney disease ... #Fingernails #PhysicalExam ... #Clinical #Photo ... #HalfAndHalf #Sign