12 results
Kussmaul's Sign on Physical Exam

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

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What’s the diagnosis ... accept increased blood ... and other rarer causes ... Kussmauls #Sign #physicalexam ... #neck #jugular
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
It is caused by ... blood flowing backwards ... into the jugular ... Regurgitation #PhysicalExam ... Cardiology
Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
It is caused by ... blood flowing backwards ... Regurgitation #PhysicalExam ... Clinical #Video #Neck ... #Jugular #Cardiology
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... seen in acute tubular ... disease Red blood ... Glomerulonephritis White blood ... Differential #Microscopy #Diagnosis
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
the underlying diagnosis ... Causes = RV failure ... Video #Clinical #Neck ... #JVP #Jugular # ... Pericarditis #Cardiology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
• Normal/low blood ... high in kidney tubular ... the indicated causes ... #Algorithm #nephrology ... #differential #diagnosis
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
month following neck ... consistent with a diagnosis ... Bennett & Bloom ... ophthalmology #physicalexam ... #neurology #Anisocoria
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... the case as Typical ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Oncologic Emergencies - Differential Diagnosis Framework

HEMATOLOGIC ONCOLOGIC EMERGENCIES:
Hyperviscosity Syndrome:
 • Spontaneous bleeding
 • Shortness of breath
- Differential Diagnosis ... of breath • Neurologic ... paradoxus • Beck ... hypotension, increased jugular ... Vomiting, decreased urine
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Differential Diagnosis ... Management Summary Causes ... Weakness - Dark urine ... UA positive for blood ... hour with goal urine