9 results
Pulsating Neck AV Fistula on Physical Exam
40 year old female patient, prior history of CKD on
Pulsating Neck AV ... Fistula on Physical ... prior history of CKD ... denied any prior neck ... #AVFistula #PhysicalExam
Facial Swelling - Differential Diagnosis Framework for Facial Edema

Infectious:
	• Dental abscess
	• Ludwig's angina
	• Vincent's angina
	• Cellulitis
	•
- Differential Diagnosis ... Contact dermatitis (CD ... of the head and neck ... #Differential #Diagnosis ... #PhysicalExam
Kussmaul's Sign on Physical Exam

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

-
What’s the diagnosis ... 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,
Hyperkalemia - Diagnosis ... VBG (acidosis), CK ... caution in HTN & edema ... definitive guide to diagnosis ... #Hyperkalemia #Diagnosis
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
family history, PCKD ... pain involving neck ... distribution, eyelid edema ... postpartum #Diagnosis
Assessment of Chest Tube Drains
Stepwise assessment of Chest Tube Function
TUBE POSITIONING
 • Look at the CXR:
re-expansion pulmonary edema ... internal diameter (1 Fr ... indication: • 14-22 Fr ... Nick Mark MD @nickmmark ... ChestTube #Drains #Diagnosis
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Differential Diagnosis ... Joint pain • Swan neck ... lower extremity edema ... proteinuria, dependent edema ... Erythematosus #Diagnosis
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Enteric-biliary fistula ... Biliary-bronchopleural fistula ... enterocolitis (NEC ... Colonoscopy, Barium enema ... #differential #diagnosis
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
generalized subcutaneous edema ... weakness in the neck ... without increasing CK ... Dermatomyositis: • ILD was diagnosed ... Dermatomyositis #diagnosis