47 results
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
or Esophageal Spasm ... Consider further diagnostics ... Esophagus #Esophageal #Spasm ... #Management #gastroenterology
Clinical Presentation of Conditions That Mimic Cellulitis and True Cellulitis 

 - Deep Vein Thrombosis
 -
Calciphylaxis - Stasis ... Cellulitis #Diagnosis ... #Clinical #Photo
"Liver palms"
Palmar erythema 

#clinical #diagnosis #PhysicalExam 
#hands #liver #hepatology #cirrosis
#photo
"Liver palms" Palmar ... #clinical #diagnosis ... hepatology #cirrosis #photo
Dermatofibroma 
 - Skin-colored to brown papule or nodule 
 - Firm, indurated texture 
 -
Male - Dimple sign ... #Dermatology #Diagnosis ... Benign #Clinical #Photo
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
- Differential Diagnosis ... Diffuse Esophageal Spasm ... #Differential #Diagnosis ... solids #liquids #gastroenterology
Acral Lentiginous Melanoma (involving nail)

While acral lentinginous melenoma is often seen anywhere on the palms, soles,
anywhere on the palms ... PhysicalExam #Clinical #Photo ... #Sign
A 70-year-old woman attends a check-up with a family doctor. As a background, he has a
, pedal carpal spasm ... the Trousseau sign ... impulses that pass ... #Trousseau #Sign ... PhysicalExam #Clinical #Photo
Signs of Graves disease: 
• Goiter 
• Periorbital edema 
• Non-pitting edema causing hyperpigmented plaques 
•
Signs of Graves ... Graves #disease #Signs ... #Clinical #Photo ... #Diagnosis
Christmas Tree Rash of Pityriasis rosea
 - small oval scaling patches
 - Christmas tree pattern
 -
Do not involve palms ... - Differential diagnosis ... syphilis (involve palms ... #dermatology #photo
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... on her chest (photo ... the underlying diagnosis ... Kussmaul's sign ... as Friedreich’s sign