3 results
Double Apical Impulse (S4) Visualization on Physical Exam - A small stick taped to the chest
Double Apical Impulse ... A small stick taped ... apical impulse. ... PhysicalExam #Video #Signs ... #Cardiology #NEJM
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
vessels involved/damaged ... systemic sx + signs ... in literature (NEJM ... cases (Cornelia NEJM ... #Temporal #Signs
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
purpura: Strong sign ... Elevated ESR and CRP GCA ... develop in pts with GCA ... • Progressive symptoms ... (PR3-ANCA)): Microscopic