29 results
Flail Chest on Physical Exam
Flail chest after 3 or more ribs are broken in 2 areas
Flail Chest on Physical ... Exam Flail chest ... are broken in 2 areas ... paradoxical motion of a chest ... #PhysicalExam #
Digital clubbing found in a 64 year old woman seen for pathological patellar fracture after a
Chest X-Ray shows ... a likely lung carcinoma ... fingernails #clinical #photo ... #pulmonary #physicalexam
Proptosis - Differential Diagnosis - Unilateral vs Bilateral
Unilateral:
 • Infections (can become bilateral with cavernous sinus
- Metastatic (breast ... , prostate, lung ... Bilateral #Causes #ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Trauma • Tumor (Lung ... , Breast, Thyroid ... Algorithm #Causes #Ophthalmology
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
terms to describe areas ... lucencies within the lung ... we describe a chest ... is to describe areas ... density in the lung
The diagonal crease in the lobe of the ear (Frank's sign) is a sign theoretically related
The diagonal crease ... : 17891926 #PhysicalExam ... Earlobe #Clinical #Photo
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
insertion of a chest ... travels from these areas ... in subcutaneous areas ... under the skin as long ... Subcutaneous #Emphysema #PhysicalExam
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
skin (esp. over areas ... Pericarditis) -> Chest ... friction rub audible Lungs ... Dyspnea, pleuritic chest ... cause interstitial lung
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
• Chronic lung ... - gastric and breast ... lymphocytic interstitial lung ... Chest CT: • Ground-glass ... IgG level X2 at least
Causes of Acute Pericarditis:

Infectious;

Viral: 
Adenovirus 
Coxsackie virus A and B 
Echovirus 
Epstein-Barr virus 
Hepatitis 
Human immunodeficiency
Metastatic tumors: Breast ... Leukemia Lung ... esophageal perforation. chest ... injury Blunt chest