35 results
Kussmaul's Sign on Physical Exam

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

-
What’s the diagnosis ... inability of the right ... severe TR, RV infarct ... rarer causes of right-sided ... physicalexam #clinical #video
Maculopapular - Diagnostic Algorithm
Pathophysiology:
- Catch-all term with a wide range of potential pathophysiologic mechanisms and causative
Maculopapular - Diagnostic ... High-risk Features ... Ill-appearing, vital sign ... instability - New-onset fever ... Immunocompromised #Diagnosis
Giant Cell (Temporal) Arteritis: Pathogenesis and investigations
Risk Factors:
 - Unclear environmental triggers (may be viral, not
yrs old; F>M Signs ... /Symptoms: - Fever ... - High serum ... Temporal #Arteritis #Pathophysiology ... #Diagnosis #Signs
Alcohol Withdrawal Timeline
Minor withdrawal (6 to 36 hours) - Tremulousness, mild anxiety, headache, diaphoresis, palpitations, gastrointestinal
hallucinosis (12 ... hallucinations with intact ... and normal vital signs ... hypertension, fever ... Timeline #etoh #diagnosis
21-Hydroxylase Deficiency (21-OHD): Pathogenesis and Clinical Findings
Autosomal recessive mutation in CYP21A2 coding for the enzyme 21-OHase
deficiencies present in infants ... Signs/Symptoms/Complications ... decr feeding, weight ... #21HydroxylaseDeficiency #21OHD #pathophysiology ... endocrinology #peds
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
compromise Clinical Signs ... cystitis, may have fever ... be present or signs ... Pathophysiology: ... patients with high
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
Infants ≤6 months ... old on day ≥7 of fever ... within 10 d of fever ... clinical and lab signs ... #Diagnosis #Peds
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
healthy pt with fever ... Blue Protocol, right ... travel hx, home meds ... partially seen shred sign ... NOT definitively diagnose
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... So high index of ... Clinical features: Fever ... Clinical features: Fever ... territory large infarct
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Actively maintained fever ... Excessive insulation, high ... devices, especially infants ... hyperthermia crisis (late sign ... Anesthesia #Checklist #Diagnosis