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Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
Diagnostic algorithm ... with suspected pulmonary ... capillary haemangiomatosis ... ; PH, pulmonary ... #Diagnosis #Peds
Hippus, also known as pupillary athetosis is spasmodic, rhythmic, but regular dilating and contracting pupillary movements
also known as pupillary ... and contracting pupillary ... Pathologic hippus ... Hippus #Hippus #Pupillary ... #Athetosis #PhysicalExam
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
Relative Afferent Pupillary ... phenomenon of pupillary ... relative afferent pupillary ... very sensitive diagnostic ... Pupils #MacrusGunn #PhysicalExam
Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect.

http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685

Normal
relative afferent pupillary ... relative afferent pupillary ... relative afferent pupillary ... relative afferent pupillary ... #Diagnosis #PhysicalExam
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
bilateral - Abscent pupillary ... Pupil #neurology #diagnosis ... ophthalmology #physicalexam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
unilateral; • Slow pupillary ... females Differential Diagnosis ... Anisocoria - same pupillary ... #Adies #Pupil #PhysicalExam
Interpreting Right Heart Catheterizations

Always interpret a RHC based on the indication for getting the test. This
for suspicion of pulmonary ... the patient have pulmonary ... (Pre-capillary, ... Post-capillary, ... Catheterization #RHC #diagnosis
Sickle Cell Disease (SCD) Nephropathy
 • Cortical Manifestations
    - Main issue: Hemolysis-associated endothelial
- Glomerular pathology ... Hematuria - Papillary ... #Nephropathy #diagnosis
Clinical Examination of the Respiratory System

#Respiratory #PhysicalExam #Pulmonary #Diagnosis #Signs #Assessment #Examination
#Respiratory #PhysicalExam ... #Pulmonary #Diagnosis
Right Heart Catheterization Waveforms and Pressures
Right Atrial Pressure:
 • Mean: 1-5 mm Hg
Right Ventricular Pressure:
 •
Diastolic: 1-7 mm Hg Pulmonary-Artery ... Mean: 9-19 mm Hg Pulmonary-Capillary ... normal #wedge #diagnosis