9 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 ... #Sign #physicalexam ... #neck #jugular
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 ... #Sign #PhysicalExam ... Video #Clinical #Neck ... #JVP #Jugular #
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 ... Fatty - Nephrotic syndrome ... Differential #Microscopy #Diagnosis
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
• Normal/low blood ... , Gitelman syndrome ... 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
consistent with a diagnosis ... experience, the cause ... Bennett & Bloom ... ophthalmology #physicalexam ... #neurology #Anisocoria
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
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
MRI was ordered ... the hospital, diagnosed ... Bennett & Bloom ... #PhysicalExam # ... ophthalmology #neurology
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
Hepatorenal Syndrome ... • Caused by splanchnic ... • Tubular function ... , or blood) ... Exclude other AKI causes