13 results
Hepatojugular Reflux (Abdominojugular Test) on Physical Exam

Firm pressure over the liver elicits distension of the jugular
Abdominojugular Test ... Abdominojugular #PhysicalExam ... clinical #video #cardiology ... #JVP #neck #jugular ... #AJR #HJR
Hepatojugular Reflux (Abdominojugular Test) on Physical Exam

Firm pressure over the liver elicits distension of the jugular
Abdominojugular Test ... Abdominojugular #PhysicalExam ... clinical #video #cardiology ... #JVP #neck #jugular ... #HJR #AJR
Myasthenia Gravis
Signs, Symptoms and Testing - Likelihood Ratios
Does this patient have myasthenia gravis?
JAMA. 2005 Apr 20;293(15):1906-14.
, Symptoms and Testing ... JAMA. 2005 Apr 20 ... eye movements #Diagnosis ... LikelihoodRatios #PhysicalExam ... #Testing
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Pronator Drift Testing ... test characteristics ... #Stroke #physicalexam ... #diagnosis #neurology ... #cva
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
Diagnostic Testing ... : Non-specific Kernig ... Up to 100% - VA ... #Meningitis #diagnosis ... #testing #physicalexam
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
Still useful for diagnosis ... Resource limited setting ... Hepatojugular #Reflux #PhysicalExam ... #VolumeStatus #Cardiology ... #HJR #AJR
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... a stand-alone test ... #Diagnosis #PhysicalExam ... VestibularSyndrome #Posterior #CVA ... #HeadImpulse #Testing
Conductive vs Sensorineural Hearing Loss on Physical Exam
Weber Test:
 • Normal: Sound is equal bilaterally
 •
Physical Exam Weber Test ... good ear Rinne Test ... #HearingLoss #PhysicalExam ... #diagnosis #Weber ... #Rinne #Testing
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
- Differential Diagnosis ... • Head and neck ... : • Normal: Air ... trauma ○ MS, CVA ... #Differential #Diagnosis
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
which rules out CV ... the underlying diagnosis ... Giant #PHTN #JVP #Neck ... #PhysicalExam # ... Clinical #Video #Cardiology