13 results
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent ... severe respiratory distress ... #Sign #clinical ... #video #physicalexam ... #respiratory #pulmonary
Spondylolysis & Spondylolisthesis: Pathogenesis and Clinical Findings

Pars interarticularis stress fracture (spondylolysis) - most frequently in the
Pathogenesis and Clinical ... interarticularis stress ... hyperextension test ... (Stork test) ... Spondylolisthesis #MSK #diagnosis
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Insufficiency Diagnosis ... Algorithm Clinical ... Weakness, fatigue, GI distress ... cosyntropin stimulation test ... interact with stim test
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Returning Traveler’ algorithm ... Test for the respective ... thin smear • Signs ... node biopsy • Clinical ... #diagnosis
Tuberculosis Testing

LATENT TB
• LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
TB • LTBI is diagnosed ... result with no clinical ... patients with recent ... used to exclude pulmonary ... #Workup #TB #Latent
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
waves caused by pulmonary ... clearly discernible descents ... has Kussmaul's sign ... the underlying diagnosis ... #Clinical #Video
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
to determine if stress ... test is indicated ... Change in clinical ... thoracic surgery Stress ... , preoperative stress
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Thyroid Function Tests ... Hyperthyroidism: Work-up ... Hyperthyroidism → Signs ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology
HIGH ALTITUDE PULMONARY EDEMA (HAPE)
 • High altitude disease that kill most people
 • Incidence: severe
climbers • Early signs ... THERAPY 1) Rapid Descent ... hyperbaric chamber if descent ... lung may lead to stress ... #Edema #HAPE #diagnosis
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
- Infectious workup ... mild-moderate respiratory distress ... Pyridostigmine - New diagnosis ... monitoring (vital signs ... , clinical appearance