8 results
Characteristic clinical manifestations of Down syndrome 
 
Typical craniofacial appearance 
 • Round face and flat
anomalies • Short neck ... Single palmar creases ... wide 'sandal' gap ... Downs #Syndrome #PhysicalExam ... #Features #Signs
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
insertion of a chest ... visualized in the neck ... spreading to the head, neck ... , chest, and abdomen ... Subcutaneous #Emphysema #PhysicalExam
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
indicated; expose neck ... to assess for neck ... skin, ↑ HR, ↓ cap ... ↓ BP is a late sign ... Survey #CABCDE #management
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Neck: “dropping ... test - Cogan sign ... - Peek sign ... Imaging - CT Chest ... Gravis #diagnosis #management
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Diagnosis and Management ... Pneumonia Signs ... • Pleuritic chest ... Uremia (blood urea ... #Diagnosis #Management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
defining feature, PRS can ... EGPA • ESR and CRP ... o infection • Echocardiogram ... crescentic GN by Nick ... differential #diagnosis #management
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
weakness in the neck ... or the anterior chest ... (in a V-sign), ... shoulders (in a shawl sign ... #diagnosis #management
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
resuscitation can ... blood flow in the chest ... precede other signs ... predicts FR by Nick ... comparison #challenges #management