22 results
Arthrocentesis - Joint Fluid Analysis

Effusion Characteristics (Color, Clarity, WCC, PMN, Crystals, Bacteria) by Disease Process: 
OA,
arthritis SLE, , RF , Pseudogout ... Septic arthritis #Diagnosis ... Analysis #Table #Aspiration ... #Pseudogout #Septic
Synovial Fluid Analysis:

Findings (COLOR	TRANSPARENCY	VISCOSITY	WBC COUNT (PER MM3)	PMN CELL COUNT (%)	GRAM STAIN	CULTURE	PCR TEST	CRYSTALS)

By Condition (Normal 
Noninflammatory 
Inflammatory:
nongonococcal ) #Diagnosis ... Analysis #Table #Aspiration ... #Pseudogout #Septic
Arthrocentesis of synovial fluid - Interpretation
 - Normal
 - Noninflammatory	
 - Inflammatory	
 - Septic

Viscosity of synovial
; however, the diagnosis ... WBC < 50,000 #Diagnosis ... Analysis #Table #Aspiration ... #Pseudogout #Septic
Cardiac Auscultation Maneuvers for Murmurs
Maneuvers result in INCREASED murmur:
 • Inspiration - Right-sided
 • Valsalva -
INCREASED murmur: • Inspiration ... Cardiac #cardiology #physicalexam ... #diagnosis
Lung Findings on Physical Exam
Crackles:
 • Short, discontinuous, sounds mostly heard during inspiration
 • Caused by
mostly heard during inspiration ... mostly during expiration ... Findings #Pulmonary #PhysicalExam ... #diagnosis #signs
Empyema Necessitans (EN) on Chest Wall Physical Examination

Pulmonary teaching case: you are called to the bedside
drain - What’s the diagnosis ... back & forth with respiration ... With inspiration ... With expiration, ... Necessitans #EN #Chest #PhysicalExam
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Testicular atrophy, Aspiration ... Edema #biliary #physicalexam ... disease #signs #diagnosis
Kussmaul's Sign on Physical Exam

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

-
What’s the diagnosis ... volume during inspiration ... Kussmauls #Sign #physicalexam
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
the underlying diagnosis ... rise in JVP with inspiration ... Kussmauls #Sign #PhysicalExam
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... decreases with inspiration ... increase in JVP with inspiration ... Kussmauls #Sign #physicalexam ... #diagnosis #cardiology