15 results
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Pronator Drift Testing ... extensor weakness - Sign ... #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 ... 95% Brudzinski Sign ... Up to 100% - VA ... #testing #physicalexam
Kussmaul's sign - JVP

This patient has Kussmaul's sign, an increase in apparent JVP/CVP with inspiration. While
in apparent JVP/CVP ... with constrictive pericarditis ... #PhysicalExam # ... Clinical #JVP #Neck ... #Veins #Cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
in Constrictive Pericarditis ... the underlying diagnosis ... #PhysicalExam # ... Video #Clinical #Neck ... #Cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... blood from vena cava ... with constrictive pericarditis ... #physicalexam # ... diagnosis #cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Pressure Waveforms - Differential ... Diagnosis - Absent ... waves - Large cv ... #Diagnosis #PhysicalExam ... #cardiology
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 ... = constrictive pericarditis ... #JVP #PhysicalExam ... Clinical #Video #Cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... inferior vena cava ... expiration not meeting ... diagnostic criteria ... pocus #clinical #cardiology
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Diagnosis Pulmonary ... Anemia, Arrhythmia, Pericarditis ... Valvular disease Head/Neck ... Abdominal wall hernia ... Depression - VA
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
dullness, puddle sign ... abdominal wall hernias ... incisional). 3) Signs ... bilirubin 2) Routine tests ... 3) Optional tests