damped nejm microscopy bicipital signs gca impulse - GrepMed

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Double Apical Impulse (S4) Visualization on Physical Exam - A small stick taped to the chest

Double Apical Impulse ... A small stick taped ... double 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 ... claudication, pulse ... Elevated ESR and CRP GCA ... develop in pts with GCA ... (PR3-ANCA)): Microscopic

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