29 results
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
5th metacarpal neck ... 5th metacarpal neck ... • Mechanism: Closed ... reduce if needed (using ... #XRay #Diagnosis
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 ... Kussmauls #Sign #PhysicalExam ... Video #Clinical #Neck ... Pericarditis #Cardiology
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 ... other rarer causes ... Kussmauls #Sign #physicalexam ... clinical #video #jvp #cardiology ... #neck #jugular
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
the first heart sound ... and carotid pulse ... • c wave - caused ... Waveforms #JVP #PhysicalExam ... #cardiology
Romberg's Test for Proprioception
History: First described in the 19th century in patients with tabes dorsalis (later
Observe when patient closes ... with eyes open and ... Rombergs #Test #neurology ... #diagnosis #proprioception ... #physicalexam
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... the underlying diagnosis ... Giant #PHTN #JVP #Neck ... #PhysicalExam # ... Clinical #Video #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
contracts against a closed ... are enough to diagnose ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
progressive dyspnea and ... It is caused by ... tricuspid valve during ... Regurgitation #PhysicalExam ... #Jugular #JVP #Cardiology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... Highest incidence is found ... Can occur with neck ... #differential #diagnosis ... #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
month following neck ... consistent with a diagnosis ... experience, the cause ... ophthalmology #physicalexam ... #neurology #Anisocoria