166 results
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
function, no valvular disease ... Workup for cause ... highest on my differential ... deficiency via several ... AorticRegurgitation #Diagnosis
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
Faget's Sign & Liebermeister's ... CLINICAL UTILITY ... #Fagets #Sign #Pulse ... #Dissociation #diagnosis ... #differential #
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 ... varying neurologic signs ... #differential # ... diagnosis #neurology
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 ... Severe biventeicular ... and other rarer causes ... #physicalexam #clinical ... jvp #cardiology #neck
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Causes of Dizziness ... Diagnosis Algorithm ... • Meniere's Disease ... /signs, bidirectional ... #Causes
Brudzinski’s Sign in Meningitis (first described in 19th century by Dr. Josef Brudzinski)

Brudzinski's sign is characterized
Passive neck flexion ... causes spinal cord ... absent despite severe ... disease. ... #Meningitis #Clinical
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... with vascular causes ... test Méniére's disease ... Long symptom-free ... Vertigo #Algorithm #differential
Biphasic Illness of Leptospirosis
Some patients do not progress to severe disease. Others, rapidly develop severe disease
not progress to severe ... interval symptom ... rash • Others: nausea ... Biphasic #Phases #Diagnosis ... #Illness #Signs
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... • Low-grade fever ... Serum DHEAS Diagnosis ... endocrinology #diagnosis ... #signs #symptoms
Causes of Acute Onset Fever - Differential Diagnosis Algorithm
Viral:
 • Rhinovirus
 • Influenza Virus
 • Parainfluenza
Causes of Acute ... Onset Fever - Differential ... : • Head and neck ... • Sickle Cell disease ... #Differential #Diagnosis