18 results
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
month following neck ... consistent with a diagnosis ... #clinical #video ... ophthalmology #physicalexam ... #neurology #Anisocoria
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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What’s the diagnosis ... and other rarer causes ... #clinical #video ... #jvp #cardiology ... #neck #jugular
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... Can occur with neck ... (Wallenberg's syndrome ... Syndrome usually ... #differential #diagnosis
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
the underlying diagnosis ... Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... #Neck #JVP #Jugular ... Pericarditis #Cardiology
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Friedreich's Sign on Neck ... Most likely diagnosis ... the underlying cause ... #JVP #PhysicalExam ... #Cardiology
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
shoulder abduction → neck ... ULTT2 #clinical #video ... #physicalexam # ... sports #msk #orthopedics ... #neurology #ULNT
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Cauda Equina Syndrome ... Commonly caused ... nerve at fibular neck ... #neurology #sensory ... #motor #leg #physicalexam
Oncologic Emergencies - Differential Diagnosis Framework

HEMATOLOGIC ONCOLOGIC EMERGENCIES:
Hyperviscosity Syndrome:
 • Spontaneous bleeding
 • Shortness of breath
- Differential Diagnosis ... of breath • Neurologic ... deficits (peripheral ... paradoxus • Beck ... #differential #diagnosis
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
elbow extension → neck ... ULTT1 #clinical #video ... #physicalexam # ... sports #msk #orthopedics ... #neurology #ULNT
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... Causes include: ... balance • Flat neck ... respiratory distress syndrome ... #cardiology