12 results
Cutaneous and Systemic Findings in Dermatomyositis
Cutaneous Findings:
 - Heliotrope sign and edema
 - Nail-fold changes
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Systemic Findings in Dermatomyositis ... and edema - Nail-fold ... Poikiloderma and V-neck ... sign or shawl sign ... #Dermatomyositis
Kussmaul's Sign on Physical Exam

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

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Kussmaul's Sign ... with + Kussmaul sign ... cardiomyopathy, severe TR ... #physicalexam # ... jvp #cardiology #neck
Facial Swelling - Differential Diagnosis Framework for Facial Edema

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

De Musset's of
De Musset's sign ... pulsation in the neck ... fusion) of severe TR ... origin" Severe TR ... #PhysicalExam #
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
Lancisi's Sign ( ... permanent AF, severe TR ... #Lancisis #Sign ... #Fibrillation #Neck ... #Video #AFib #PhysicalExam
Lancisi's Sign in Severe Tricuspid Regurgitation

Dr. Sa'ad Lahri @slahri7 via @TBHMedicine

#Lancisis #sign #Tricuspid #Regurgitation #clinical #video
Lancisi's Sign in ... #Lancisis #sign ... clinical #video #physicalexam ... #neck #cardiology ... #TR
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 ... chest (in a V-sign ... shoulders (in a shawl sign ... without increasing CK
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
family history, PCKD ... pain involving neck ... thrombophilia, neurologic signs ... distribution, eyelid edema
Severe Tricuspid Regurgitation on Neck Vein Examination

Got called from the echo lab, “ your patient has
Regurgitation on Neck ... has wide open TR ... evaluating the neck ... #JVP #PhysicalExam ... Video #Lancisis #Sign