12 results
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
Diagnostic Testing ... Non-specific Kernig Sign ... 95% Brudzinski Sign ... #Meningitis #diagnosis ... #testing #physicalexam
Radiculopathy: Signs and Symptoms
 • Back/Neck Pain
 • Decr Range of motion
 • Abnormal posturing
 •
and Symptoms ... • Back/Neck Pain ... : Tilting head back ... Radiculopathy #MSK #diagnosis ... #signs #symptoms
Myasthenia Gravis
Signs, Symptoms and Testing - Likelihood Ratios
Does this patient have myasthenia gravis?
JAMA. 2005 Apr 20;293(15):1906-14.
Myasthenia Gravis Signs ... , Symptoms and Testing ... eye movements #Diagnosis ... LikelihoodRatios #PhysicalExam ... #Testing
Clinical Features of Infective Endocarditis

General 
 - Malaise 
 - Clubbing 

Cardiac 
 - Murmurs
Eyes - Roth spots ... #Endocarditis #Symptoms ... #Signs #Features ... #PhysicalExam # ... Diagnosis
Xeropthalmia: Pathogenesis and Ocular Manifestations

Decr Visual pigment -> Keratinization, thickening & non-wetting of the conjunctiva
thickening & non-wetting ... keratomalacia (focal melting ... conjunctiva) • Bitot's spots ... ophthalmology #diagnosis ... #signs #symptoms
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
vertigo (BPPV) - Short-lived ... vertigo usually lasting ... Can occur with neck ... varying neurologic signs ... #differential #diagnosis
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
on Neck Examination ... Most likely diagnosis ... small blue-colored spot ... #Friedreichs #Neck ... #JVP #PhysicalExam
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
continuous and lasting ... upbeat (fast phase beating ... Central #Vertigo #diagnosis ... #findings #signs ... #symptoms #comparison
Distraction Test for Cervical Radiculopathy

 • Indicates compression of neural structures at the intervertebral foramen or
• Positive signis ... a decrease in symptoms ... in neck or a decrease ... clinical #video #physicalexam ... #neck #sports #
Myotonic Dystrophy
Typically presents in middle age with weakness of hands, legs and neck.
 - Mental deficiency
hands, legs and neck ... Appearance: Muscle wasting ... - Muscle Wasting ... Dystrophy #Myotonia #Diagnosis ... #signs #symptoms