13 results
HFrEF - Low Ejection Fraction on Physical Exam - Likelihood Ratios
 - Displaced Apical Impulse
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Exam - Likelihood Ratios ... Response - Elevated Neck ... #HFrEF #LowEF #PhysicalExam ... LRs #diagnosis #cardiology ... #CHF
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of posterior semicircular canal
Ocular Nystagmus ... PSC BPPV after Dix ... #Nystagmus #BPPV ... #Posterior #Dix ... clinical #video #physicalexam
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
Ocular Nystagmus ... PSC BPPV after Dix ... sudhir_kothari #Ocular ... #Posterior #Dix ... clinical #video #physicalexam
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
Diagnostic Likelihood Ratios ... Examination #chf ... #cardiology #heartfailure ... #physicalexam #
Kussmaul's Sign on Physical Exam

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

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DDx includes constriction ... of right-sided HF ... Kussmauls #Sign #physicalexam ... clinical #video #jvp #cardiology ... #neck #jugular
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
school before I did ... , you can dx the ... #Fibrillation #Neck ... #Video #AFib #PhysicalExam ... #Cardiology
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
usually dorsal • DIP ... ligaments (prevent radial ... Complications include swan neck ... 1 week MH/CCF ... Dislocation #IPJoint #Radiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Hussain Ch @Hussainch ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Lyme Disease - Diagnosis and Management Summary

Lyme Disease Epidemiology:
- Spirochete
- Reservoir: small mammals & birds
- Transmitted
Headache/stiff neck ... Pericarditis • Ocular ... to confirm the dx ... LP-CSF: lymphocytic
Atrial Flutter on Neck Examination

If you can dx this rhythm, you are born before 1960. 
Early
Atrial Flutter on Neck ... If you can dx ... Atrial #Flutter #Neck ... #PhysicalExam # ... Clinical #Video #Cardiology