12 results
Cutaneous and Systemic Findings in Dermatomyositis
Cutaneous Findings:
 - Heliotrope sign and edema
 - Nail-fold changes
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and edema - Nail-fold ... Poikiloderma and V-neck ... sign or shawl sign ... - Interstitial lung ... #Diagnosis #Rheumatology
Kussmaul's Sign on Physical Exam

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

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Kussmaul's Sign ... with + Kussmaul sign ... Kussmaul's sign ... #Kussmauls #Sign ... #cardiology #neck
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... → no signs of CXR ... #management #cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... ’s called Frog sign ... Hussain Ch @Hussainch ... #Cardiology #Neck ... #Frog #Sign
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
balance • Flat neck ... ischemic changes CXR ... • Pulmonary vascular ... Transfusion-related acute lung ... #cardiology
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 ... ASA, Kussmaul's sign ... , marked pedal edema ... , and clear lungs ... pocus #clinical #cardiology
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
position Obstructive lung ... The following signs ... increased width of the vascular ... #Clinical #Radiology ... #CXR #CHF #Alveolar
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 ... chest (in a V-sign ... shoulders (in a shawl sign ... Non-small-cell lung ... : • ILD was diagnosed
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... #algorithm #management ... #cardiology #treatment ... #heartfailure #chf
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
also demonstrate signs ... dependent part of the lungs ... the differential diagnostic ... #Clinical #Radiology ... #CTChest #CHF #