35 results
Types of abdominal hernias
 - 
Inguinal (70.7%)
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Umbilical (13.9%)
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Epigastric (6.6%)
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Incisional (4.7%)
Types of abdominal hernias ... Inguinal (70.7%) - Umbilical ... #Abdominal #Hernia ... Surgery #Locations #Diagnosis
Sister Mary Joseph Nodule on Physical Exam

Unfortunately, not all bulges are hernias. This umbilical bulge ended
all bulges are hernias ... This umbilical bulge ... Joseph #Nodule #PhysicalExam ... clinical #video #umbilical ... lymphnode #oncology #umbilicus
Myasthenia Gravis
Signs, Symptoms and Testing - Likelihood Ratios
Does this patient have myasthenia gravis?
JAMA. 2005 Apr 20;293(15):1906-14.
Myasthenia Gravis ... , Symptoms and Testing ... eye movements #Diagnosis ... LikelihoodRatios #PhysicalExam ... #Testing
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers
 • Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... Hering's law) • Testing ... vital capacity • Testing ... #Gravis #PhysicalExam ... #Maneuvers #Diagnosis
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
Normal veins: Umbilicus ... respecting the umbilical ... above and below umbilicus ... #Blood #Flow #physicalexam ... #diagnosis #hepatology
34 yrs old patient, childbirth 3 weeks ago without problem. Acute supra-ombilical pain since 6 hours.
Acute supra-ombilical ... Strangulated hernia ... Diagnosis <15 min ... #Strangulated #hernia ... #umbilical #clinical
Ice-pack Test for Myasthenia Gravis - Likelihood Ratio (LR) +24 / -0.16
Ice pack's can be used
Ice-pack Test for Myasthenia ... Icepack #Test #Myasthenia ... #Gravis #physicalexam ... #neurology #diagnosis
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
Diagnostic Testing ... : Non-specific Kernig ... #Meningitis #diagnosis ... #testing #physicalexam ... #Specificity #diagnosis
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... Myasthenia gravis ... In-office testing ... eyelid #Ocular #Myasthenia ... #Gravis #PhysicalExam
Ascites: Physical Exam Diagnostic Accuracy

Sensitivity and Specificity: Shifting Dullness, Bulging Flanks. Fluid Wave 

Source: Joseph D.
Physical Exam Diagnostic ... Science of Bedside Diagnosis ... #Diagnosis #PhysicalExam ... Ascites #Accuracy #Testing