2050 results
Myasthenia Gravis
Signs, Symptoms and Testing - Likelihood Ratios
Does this patient have myasthenia gravis?
JAMA. 2005 Apr 20;293(15):1906-14.
after prolonged speaking ... LikelihoodRatios #PhysicalExam
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
emphysema, strictly speaking ... interstitium, spreading ... Subcutaneous #Emphysema #PhysicalExam
Parkinson's Disease - Signs and Symptoms
Systemic: Tremor and Slowness, Impaired balance, Small Handwriting, Sleepiness, Trouble Moving
Mouth: Difficulty speaking ... Skin: Increased sweating
Passy Muir Valve (PMV) "Speaking Valve" Anatomy

When placed on the hub of the tracheostomy tube or
Muir Valve (PMV) "Speaking ... PassyMuirValve #PMV #Speaking
Causes of Facial Weakness - Differential Diagnosis Algorithm
Forehead Sparing = Central cause
  - Most commonly
Algorithm Forehead Sparing ... Causes #neurology #sparing
Aortic Stenosis - Diagnosis and Stages

Clinical Presentation
- Exertional dyspnea
- Chest pain
- Palpitations
- HF Symptoms (orthopnea, PND,
Severe AS) - Late peaking
External Carotid Artery Branches - Mnemonic
Some Attendings Like Freaking Out Potential Medical Students
S - Superior Thyroid
A
Attendings Like Freaking
A normal plantar reflex response involves toe flexion, or even no movement. A positive test, also
flexing and / or spreading ... Reflex #Plantar #PhysicalExam
Adult-Onset Still's Disease (AOSD)
Rare inflammatory disorder of unknown etiology, difficult to diagnose because of heterogenous presentation.
Presentation: High spiking ... DMARDS (steroid-sparing
Hormones Acting on the Nephron - Diuretics and Their Site of Action
 1) Acetazolamide
 2) Osmotic
5) Potassium-sparing