61 results
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
as a physical sign ... Still useful for diagnosis ... of CHF with reasonable ... Positive reflux= ... #PhysicalExam #Clinical
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... In these cases comparison ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... : 'signet ring sign ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #Comparison #Table
Hilar enlargement
The table summarizes the causes of hilar enlargement.
Normal hili are:
- Normal in position - left
summarizes the causes ... are: - Normal in position ... branching vessels #Diagnosis ... #Radiology #CXR ... #Enlargement #Differential
Spondylolysis & Spondylolisthesis: Pathogenesis and Clinical Findings

Pars interarticularis stress fracture (spondylolysis) - most frequently in the
Pathogenesis and Clinical ... tenderness • Positive ... Stork test) • XR ... vertebrae • CT - collar ... Spondylolisthesis #MSK #diagnosis
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 ... of right-sided HF ... #physicalexam #clinical ... #video #jvp #cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... where we may see a positive ... #physicalexam #diagnosis ... #cardiology #differential ... #causes
There are about a dozen x-ray findings, but two of them are especially important: Loss of
and the calcium sign ... is considered a positive ... calcium sign and ... #Clinical #Diagnosis ... #Radiology #CXR
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
The most common cause ... from the various causes ... Look for other signs ... #Diagnosis #Radiology ... #Pulmonary #CXR
On the left a patient with CHF. 
There is an increase in heart size compared to
Other signs of CHF ... magnification and high position ... that helpful, but comparison ... #Clinical #Radiology ... #CXR #CHF #Exacerbation