13 results
Pulsating Neck AV Fistula on Physical Exam
40 year old female patient, prior history of CKD on
Pulsating Neck AV ... prior history of CKD ... of congenital AVFs ... #AVFistula #PhysicalExam ... jugular #carotid #AVF
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
from this #JVP / neck ... Regurgitation #TR ... Lancisis #Sign #JVP #PhysicalExam
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
Cannon A Waves on Neck ... waves indicate AV ... dissociation: 3rd deg AV ... CannonA #AWaves #Neck ... #PhysicalExam #
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
has permanent AF ... , severe TR, and ... irregularity of HB is c/w AF ... #Fibrillation #Neck ... #Video #AFib #PhysicalExam
Kussmaul's Sign on Physical Exam

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

-
cardiomyopathy, severe TR ... Kussmauls #Sign #physicalexam ... jvp #cardiology #neck
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
esp w oliguria / GFR ... , tourniquet / IVF ... sine wave → PEA/VF ... VBG (acidosis), CK ... - IVF as
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
initial 3 beats) & AF ... Regurgitation #PhysicalExam ... #Cardiology #Neck
Facial Swelling - Differential Diagnosis Framework for Facial Edema

Infectious:
	• Dental abscess
	• Ludwig's angina
	• Vincent's angina
	• Cellulitis
	•
Contact dermatitis (CD ... carcinoma • Multiple myeloma ... of the head and neck ... lymphomas • Head and neck ... Differential #Diagnosis #PhysicalExam
De Musset's sign of venous origin - Lateral Head Bob (Heart rate ~130 bpm.)

De Musset's of
pulsation in the neck ... fusion) of severe TR ... origin" Severe TR ... TricuspidRegurgitation #TR ... #PhysicalExam #
Orthopedic Platings, Nails and Screws
Bohler’s Stirrup: U shaped device to hold a Steinmann pin and applying
Buttress Plating: (Fr ... complication such as AVN ... prosthesis has neck ... prosthesis has NO neck ... union of femoral neck