9 results
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Anion gap? ... : Anion Gap (AG ... sedation, narcotics, CVA ... #Acid #Base #Gas ... #VBG #differential
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
to diagnose the case ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Causes = RV failure ... pericarditis (this case ... descent is known as ... #PhysicalExam # ... Clinical #Neck #JVP #Jugular
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
with inspiration as ... blood from vena cava ... #physicalexam # ... diagnosis #cardiology ... causes
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
poisoning Normal acid-base ... the indicated causes ... of anion gap metabolic ... urine #Algorithm #nephrology ... #differential #
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
= high-output state ... pivotal in this case ... "just another case ... highest on my differential ... AorticRegurgitation #Diagnosis #PhysicalExam
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
be determined based ... to be in ADHF starts ... Signs of congestion ... the determined cause ... #diagnosis #differential
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
tissue at the nail base ... Starts distally ... chemotherapy, carbon ... Diagnosis #Clinical #Signs ... #PhysicalExam #
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Definition: • Coma: a state ... consciousness Differential ... • Examine for signs ... caseyalbin #PhysicalExam ... #neurology #comatose