24 results
Kussmaul's Sign on Physical Exam

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

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inability of the right ... rarer causes of right-sided ... HF #Kussmauls ... clinical #video #jvp ... #cardiology #neck
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
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electrolytes, CXR ... UA), Advanced (might ... include cranial CT ... , ABG, CSF, thyroid ... , MRI, toxicologic
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
excludes other differentials ... Hussain Ch @Hussainch ... #PhysicalExam #JVP ... #Cardiology #Neck ... #Frog #Sign
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Intolerance, ↑ "Right ... Physical Exam: ↑JVP ... Echocardiography, Cardiac MRI ... Diagnosis #Causes #differential ... #cardiology #algorithm
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... feeding vessel sign ... cavitation in the right ... #Clinical #Radiology ... #CXR #CTChest #
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... → no signs of CXR ... heartfailure #diagnosis #management ... #cardiology #pharmacology ... #sCHF
Imaging Modalities for Renal Calculus

AXR. KUB
 - Good far calcium-containing stones useful when limited radiation dose
Renal Calculus AXR ... Non-contrast CT ... Combination of above MRI ... renal stones IVP ... stones #calculus #Radiology
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
with asthma or CF ... structures in the right ... CT demonstrated ... #Clinical #Radiology ... #CXR #CTChest #
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... ulna, pain with wrist ... 1 week MH/CCF ... #Carpal #Radiology
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... box, pain with wrist ... 1 week MH/CCF ... Scaphoid #Carpal #Radiology