159 results
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain: • DVT ... • Varicose veins ... Crush injury • DVT ... lower #extremity #msk ... #physicalexam
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
Pemberton's Sign caused ... Elevating the arms causes ... previously flat neck veins ... superior vena cava syndrome ... Thyroid #Goiter #PhysicalExam
Disorders of the Hepatic and Mesenteric Circulation

Platelets in Cirrhosis
Hypercoagulability in Cirrhosis
Bleeding in Cirrhosis
Portal Vein Thrombosis (PVT)
Mesenteric
Cirrhosis Portal Vein ... Thrombosis (PVT ... ) Mesenteric Vein ... Thrombosis (MVT ... ) Budd Chiari Syndrome
Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
Antecubital Vein ... the antecubital veins ... Or upper arm DVTs ... But in rare cases ... #PhysicalExam #
Peripheral Edema - Differential Diagnosis Framework for Lower Extremity Edema

Edema occurs when any of the following
Extremity Edema: • DVT ... insufficiency • Varicose veins ... • DVT: Bilateral ... the left iliac vein ... Lower #Extremity #PhysicalExam
Budd Chiari Syndrome
Hepatic vein obstruction. Can be caused by thrombosis or sometimes a tumour. Can lead
Budd Chiari Syndrome ... Hepatic vein obstruction ... Can be caused by ... #BuddChiari #Syndrome ... #Diagnosis #Causes
Superior Vena Cava Syndrome on Physical Exam

Prominent dilated collateral veins are seen bypassing the SVC obstruction

#SVC
Superior Vena Cava Syndrome ... dilated collateral veins ... Superior #Vena #Cava #Syndrome ... #PhysicalExam # ... vascular #collateral #veins
Recurrent / Breakthrough DVT During Anticoagulation

Subtherapeutic Anticoagulation
Hypercoagulable State 
 - Antithrombin deficiency 
 - Hypercoagulability ot
/ Breakthrough DVT ... Structural - Pelvic masses ... - May-Thurner syndrome ... Breakthrough #Recurrent #DVT
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
Dilated Abdominal Veins ... Blood Flow Vein ... determine the cause ... • Normal veins ... #Blood #Flow #physicalexam
Causes of Sudden Cardiac Arrest
Primary Myocardial Processes (> 90%):
 • Acquired structural heart disease: CAD, Most
Causes of Sudden ... Long/short QT syndromes ... , Brugada syndrome ... Catecholaminergic polymorphic VT ... differential #diagnosis #causes