Test physicalexam sign ophthalmology shoulder diagnosis signs jvp kussmauls afferent pupillary a4c

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Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or

alternating light test ... swinging-flashlight test ... It is a clear sign ... very sensitive diagnostic ... Pupils #MacrusGunn #PhysicalExam

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Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect.

http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685

Normal

swinging light test ... Both pupils should ... Both pupils should ... #Diagnosis #PhysicalExam ... #Ophthalmology

Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness

100/82, HR 74, JVP ... 15 cm ASA, Kussmaul's ... sign, marked pedal ... expiration not meeting diagnostic ... Echocardiogram #a4c

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