9 results
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
relaxation of the ankle ... evaluation confirmed a diagnosis ... #PhysicalExam # ... Hypothyroidism #Ankle ... #Endocrinology
Hyperthyroidism – symptoms and signs. 

Symptoms:

Weight loss, Increased appetite, Irritability/behaviour change, Restlessness, Malaise, Stiffness, Muscle weakness,
– symptoms and signs ... Muscle weakness, Tremor ... : Tremor, Hyperkinesis ... Palmar erythema, Graves ... #Diagnosis #Endocrinology
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Bruising, Flapping tremor ... Kayser-Fleischer rings in Wilson's ... Edema #biliary #physicalexam ... liver #disease #signs ... #diagnosis
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
• Weakness or tremors ... diffuse goiter (Graves ... antibodies (TRAb) if Graves ... #differential #endocrinology ... #signs #symptoms
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia Gravis ... such as cogan sign ... have a thymic tumor ... #PhysicalExam # ... ophthalmology #neurology
Lung Findings on Physical Exam
Crackles:
 • Short, discontinuous, sounds mostly heard during inspiration
 • Caused by
swelling, secretions, tumor ... consolidation gives ... Findings #Pulmonary #PhysicalExam ... #diagnosis #signs
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... system: Brain tumor ... Postsynaptic: Myasthenia Gravis ... Lack of UMN/LMN signs ... #neurology
DANISH Mnemonic for Cerebellar Signs of Disease

D - Dysdiadochokinesia / Dysmetria - Impaired ability to perform
for Cerebellar Signs ... I - Intention tremor ... - Tremor that worsens ... #Diagnosis #Neurology ... #PhysicalExam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... myoclonic movements, tremors ... • Examine for signs ... caseyalbin #PhysicalExam ... #neurology #comatose