b12 anemia deficiency differential classification workup cardiology pulse msk physicalexam

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Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new

Workup for cause ... point thiamine deficiency ... highest on my differential ... AorticRegurgitation #Diagnosis #PhysicalExam ... Fingernails #Nailbed #Cardiology

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Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
• Fracture
• Arthritis
• Gout/pseudogout

Neuropathy (DM, Vit B12 ... , B6, Cu deficiency ... refill - Poor pulses ... lower #extremity #msk ... #physicalexam

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