17 results
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with a central cause ... It cannot therefore ... with nystagmus. ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... the case as Typical ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... Diagnosis - Absent ... pulmonic stenosis - Cannon ... #Waveforms #JVP ... Diagnosis #PhysicalExam
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
much easier to diagnosis ... NH4+ secretion Cannot ... Type1 #Distal #Diagnosis ... #Management #Nephrology ... #Causes #Differential
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 ... descent is known as ... Kussmauls #Sign #PhysicalExam ... #Jugular #Constrictive
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Young females Differential ... Diagnosis: • CN ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... suggest a mass as ... VI problem) - Cannot ... #Causes #Ophthalmology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Diagnosis Typically ... the JVP decreases ... with inspiration as ... Kussmauls #Sign #physicalexam ... causes
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... the hospital, diagnosed ... Half #Syndrome #PhysicalExam ... clinical #video #ophthalmology ... #neurology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... (beriberi) and AV ... highest on my differential ... AorticRegurgitation #Diagnosis ... #PhysicalExam #