11 results
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Abnormal Jugular ... One Trough - 'CV ... with Every Beat - Cannon ... Pressure #Algorithm #diagnosis ... #cardiology #physicalexam
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
It cannot therefore ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior #CVA
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... pulmonic stenosis - Cannon ... waves - Large cv ... #Waveforms #JVP ... Diagnosis #PhysicalExam
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
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
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
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Diagnosis Typically ... the JVP decreases ... blood from vena cava ... Kussmauls #Sign #physicalexam ... causes
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... a mass as the cause ... VI problem) - Cannot ... #Causes #Ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
Entering VA was ... the hospital, diagnosed ... Half #Syndrome #PhysicalExam ... clinical #video #ophthalmology ... #neurology
Oncologic Emergencies - Differential Diagnosis Framework

HEMATOLOGIC ONCOLOGIC EMERGENCIES:
Hyperviscosity Syndrome:
 • Spontaneous bleeding
 • Shortness of breath
Emergencies - Differential ... Diagnosis Framework ... of breath • Neurologic ... Superior Vena Cava ... hypotension, increased jugular